河北省医疗机构麻醉专业发展现状调查  

A survey of the current status of anesthesiology departments in medical institutions of Hebei province

作　　者：李旭泽[1,2] 吕畅 王士朝 康荣田[1,2] LI Xuze;LYU Chang;WANG Shizhao;KANG Rongtian(Department of Anesthesiology,The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Hebei anesthesia quality control center,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院麻醉科,河北石家庄050000 [2]河北省临床麻醉质量管理与控制中心,河北石家庄050000

出　　处：《麻醉安全与质控》2024年第4期206-210,共5页Perioperative Safety and Quality Assurance

摘　　要：目的了解河北省各医疗机构麻醉科发展现状,为促进麻醉专业发展提供基础数据依据。方法由河北省临床麻醉质量管理与控制中心通过“问卷星”网络平台发放电子问卷,对2020年河北省内所有二级以上医疗机构的麻醉科现状进行横断面普查,包括麻醉科人力资源结构、科室建设、麻醉医生工作负荷、分娩镇痛面临问题等项目,收集并分析相关数据。结果593家医疗机构完成问卷调查。河北省共有麻醉医生4839人(每万人口0.65人),三级医院较二级医院麻醉医生学历和职称明显更高,省内各市之间麻醉人力资源差距较大。河北省只有10%的医院实现了手麻系统信息化,麻醉门诊、麻醉恢复室(PACU)的设置率分别为20%和35%。73%的医院麻醉医生平均每日工作时长>8 h。将分娩镇痛纳入医保收费项目是河北省分娩镇痛面临的首要问题。结论河北省麻醉专业人力资源整体严重短缺,麻醉医生工作负荷较重,麻醉科室建设不足,且各地区之间、不同类别医院之间发展不均衡。Objective To investigate the current status of anesthesiology departments in medical institutions of Hebei province,and provide essential data for the future development of anesthesiology.Methods We performed a cross-sectional province-wide census survey of the current status of anesthesiology departments in hospitals of secondary and higher level in Hebei province in 2020.The electronic questionnaires were issued to medical institutions through Questionnaire Star platform by clinical anesthesia quality management and control center of Hebei province.The content of the survey included human resource structure,department construction,the workload of the anesthesiologists,the obstacles of labor analgesia and etc.The survey data were collected and analyzed after questionnaire collection.Results A total of 593 medical institutions completed the questionnaires.There was a total of 4839 anesthesiologists,or 6.5 per 100,000 of the population,in Hebei province.Anesthesiologists in tertiary hospitals have higher educational background and professional qualifications than those in secondary hospitals.There is a big gap in human resources of anesthesiology among regions.Anesthesia information management system was equipped in only 10%hospitals of Hebei province.Only 20%and 35%hospitals set up anesthesia preoperative evaluation clinic and PACU.Working hours of anesthesiologists in 73%hospitals were longer than 8 h per day.Medical insurance should cover the services related to labor analgesia,which was the primary problem of the promotion of labor analgesia.Conclusion In Hebei province,the overall shortage of human resources of anesthesiology is severe,the workload of anesthesiologists is heavy,the construction of anesthesia departments is insufficient,and the development of anesthesiology in different levels and different regions of hospitals is uneven.

关 键 词：麻醉学 发展现状 分娩镇痛 调查 

分 类 号：R197.32[医药卫生—卫生事业管理]