甘肃省医疗机构重大传染病救治能力现状调查  

Current status of capacity of medical institutions to deal with major infectious diseases in Gansu Province

作　　者：姚子琰 冯玉娟 张琳娜 孙毅 薛秀芳 李霞荣 王俊玲[3] 张浩军 YAO Ziyan;FENG Yujuan;ZHANG Linna;SUN Yi;XUE Xiufang;LI Xiarong;WANG Junling;ZHANG Haojun(Gansu University of Chinese Medicine,Lanzhou,Gansu 730000,China;不详)

机构地区：[1]甘肃中医药大学公共卫生学院,甘肃兰州730000 [2]甘肃省第二人民医院,甘肃兰州730000 [3]兰州大学公共卫生学院,甘肃兰州730000

出　　处：《中华医院感染学杂志》2025年第4期615-619,共5页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(72064002);甘肃省重点人才基金资助项目(2023-0623-RCC-0032);兰州市城关区科技计划基金资助项目(2022SHFZ0001)。

摘　　要：目的 了解甘肃省二级及以上医疗机构对重大传染病的医疗救治能力,为提升感染防控能力及合理配置资源提供参考。方法 采取简单抽样的方式,对2023年6月甘肃省228家医疗机构基本信息、医疗机构传染病救治能力情况、人员及物资设备储备等现状信息进行问卷调查,利用Excel建立数据库并进行分析。结果 在调查的228家医院中,87.69%的三级医院、14.72%的二级医院床位数>500张,85.28%二级医院床位数≤500张,42.11%的医院设置了感染性疾病专科,感染性疾病科专职人员配置合格率为61.50%;现有人员中护士为主占57.69%,本科占60.26%,初级职称占56.63%。与传染病救治密切相关的科室中,除中医科外,其余科室医护比在1:1.15以上的医院占86.27%以上;急诊科和血液净化科床护比在1:0.4以上的医院占73.68%以上,其余科室床护比在1:0.4以上的医院均<50.00%。结论 甘肃省医疗机构重大传染病救治能力基本满足重大传染病救治工作,但在医疗救治人才队伍建设、病区建筑及设施设备等方面存在数量不足、分布不均等问题,亟须加强提升。OBJECTIVE To understand the capacity to deal with serious infectious diseases in grade II and above medical institutions in Gansu Province,and to provide references for improving the capabilities of infection preven-tion and control and rational allocation of resources.METHODS A questionnaire survey on the basic information,capacity to deal with infectious diseases,and the status of personnel,material and equipment reserves of 228 med-ical institutions was conducted by a simple sampling method in Gansu Province in Jun.2023,and a database for the survey was established and analyzed using Excel.RESULTS Among the 228 hospitals surveyed,87.69%of three-A hospitals and 14.72%of two-A hospitals had 500 or more beds,while 85.28%of two-A hospitals had beds less than 500.Totally 42.11%of hospitals had special departments for infectious diseases and the qualified rate for staffing specialties was 61.50%.Among the existing personnel,nurses accounted for 57.69%,those with bachelor's degrees accounted for 60.26%,and those with junior professional titles accounted for 56.63%.Hospitals with physician-to-nurse ratio of 1:1.15 or above in the departments closely related to the treatments of infectious disease,except for the Traditional Chinese Medicine department,accounted for more than 86.27%;hospitals with bed-to-nurse ratio of 1:O.4 or above in the Emergency and Blood Purification departments,accounted for more than 73.68%,while hospitals with bed-to-nurse ratio of 1:0.4 or above in other departments were less than 50.00%.CONCLUSION The capacity in medical institutions in Gansu Province can basically meet the needs for the management of major infectious diseases,but there are still problems such as insufficient numbers and uneven distribution of medical specialists,ward buildings,facilities and equipment,which need to be urgently strengthened and upgraded.

关 键 词：重大传染病 医疗机构 救治能力 问卷调查 甘肃 

分 类 号：R183[医药卫生—流行病学]