四川省78家公立医院上消化道癌早诊早治资源配置现状调查  

Survey on the current situation of resource allocation for early diagnosis and treatment of upper gastrointestinal cancers in 78 public hospitals in Sichuan Province

作　　者：钟志刚 蒲星月 李丽娜 刘潇霞[1] 马婧 赵锐[3] 许佳豪 乔良[1] ZHONG Zhi-gang;PU Xing-yue;LI Li-na;LIU Xiao-xia;MA Jing;ZHAO Rui;XU Jia-hao;QIAO Liang(Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,Cancer Hospital Affiliated to University of Electronic Science and Technology of China,Sichuan Clinical Research Center for Cancer,Office(Prevention Department)of Sichuan Cancer Center,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学附属肿瘤医院,四川省肿瘤临床医学研究中心,四川省癌症防治中心办公室(预防部),四川成都610041 [2]四川省妇幼保健院组织人事部 [3]四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学附属肿瘤医院,四川省肿瘤临床医学研究中心,内镜科

出　　处：《现代预防医学》2025年第3期503-507,共5页Modern Preventive Medicine

基　　金：四川省科技厅重点研发项目(2023YFG0148);四川省自然科学基金(2022NSFSC0640);四川省医学科研课题计划(S22004);四川省科普培训项目(2023JDKP0034);成都市科技局技术创新研发项目(2022-YF05-02005-SN);川北医学院2024年度四川省基层卫生事业发展研究中心资助项目(SWFZ24-Y-54)。

摘　　要：目的调查四川省不同级别公立医院上消化道癌早诊早治资源配置现状,为进一步推广上消化道癌早诊早治项目,提高筛查质量提供建议。方法对四川省2023年承担上消化道癌机会性筛查的公立医院进行问卷调查,比较分析不同级别医院上消化道癌早诊早治诊疗能力、硬件能力和人员配置情况等。结果78家医院平均年胃镜诊疗总量为8400.82人次,96.15%的医院拥有独立的内镜科,87.18%的医院拥有独立的病理科,平均拥有内镜主机3.29台,胃镜10.19条,平均配备内镜医师6.97名,病理医师4.14名,内镜护士5.41名。医院级别越高,诊疗能力、硬件能力和人员情况相关指标越高。结论四川省公立医院早诊早治资源配置整体情况良好,但需要加强病理科室建设,重点关注二级医院上消化道癌早诊早治资源配置优化问题。Objective To investigate the current situation of resource allocation for early diagnosis and treatment of upper gastrointestinal cancers in public hospitals at different levels in Sichuan Province,and to provide suggestions for further promoting the early diagnosis and treatment projects of upper gastrointestinal cancers and improving the screening quality.Methods A questionnaire survey was conducted on public hospitals in Sichuan Province that undertook opportunistic screening for upper gastrointestinal cancers in 2023,and the diagnosis and treatment capabilities,hardware capabilities and staffing situations of upper gastrointestinal cancer early diagnosis and treatment in hospitals at different levels were compared and analyzed.Results The average annual total number of gastroscopy diagnosis and treatment in 78 hospitals was 8400.82 person-times.In total 96.15% of the hospitals had an independent endoscopy department,and 87.18% of the hospitals had an independent pathology department.On average,there were 3.29 endoscopy hosts,10.19 gastroscopes,with an average of 6.97 endoscopy physicians,4.14 pathologists and 5.41 endoscopy nurses.The higher the hospital level,the higher the relevant indicators of diagnosis and treatment capabilities,hardware capabilities and staffing.Conclusion The overall situation of resource allocation for early diagnosis and treatment in public hospitals in Sichuan Province is good,but it is necessary to strengthen the construction of pathology departments and focus on optimizing the resource allocation for early diagnosis and treatment of upper gastrointestinal cancers in secondary hospitals.

关 键 词：上消化道癌 早诊早治 资源配置 四川省 

分 类 号：R197.1[医药卫生—卫生事业管理]