摘要
目的调查四川省阿坝州某县的所有卫生院的急诊急救资源现状。方法 2015年4月15日-18日,设置统一电子版本的调查问卷,所有卫生院负责人填写完毕后上传资料,专人录入数据后统计分析急诊医疗服务情况以及急救相关人力资源、设备、技术应用情况。结果乡镇卫生院服务人口为(2 206.05±846.95)人,服务半径为(25.5±14.3)km,每千常住人口执业(助理)医师数1.52人,每千常住人口注册护士数0.47人,每千常住人口医疗卫生机构床位数1.69张,所有卫生院共74名(助理)医师,23名护士,医护职称以及学历构成比较差异无统计学意义(P>0.05)。所有卫生院共6辆救护车,5辆为普通型救护车,1辆为抢救监护型救护车,救护车车载设备及院内救治设备均配置不足,大多数医护人员仅能开展周围静脉穿刺及清创缝合手术,不能单独完成重症患者的抢救工作。结论乡镇卫生院急诊服务半径过大,医护人员数量偏低,总体服务能力不足,需加大投入改进医疗设施设备,增加医护人员数量、改善人才结构,加强急诊急救的专业建设,以尽可能满足民族地区民众对急诊急救资源的需求。
Objective To investigate the status quo of emergency resources in all township hospitals in a county of Aba Autonomous Region.Methods We set up a uniform electronic version questionnaire between April 15 th and 18 th,2015.The leaders of township hospitals filled in their information and uploaded the data including emergency medical services,human resources,medical device and technology application situation.Then,the data were statistically analyzed.Results For these township hospitals,the service population was 2 206.05±846.95,the service radius was（25.5±14.3）km.The number of registered doctors per 1 000 people of resident population was 1.52,the number of registered nurses per 1 000 people of resident population was 0.47,and the number of hospital beds per 1 000 people of resident population was 1.69.The staff in all township hospitals included 74 doctors and 23 nurses.The constitution of positional titles and academic qualifications of doctors and nurses in these township hospitals was not significantly different（P〉 0.05）.All township hospitals had a total of six ambulances,one of which was ambulance for rescue and monitoring,and the others were ordinary ambulances.The devices equipped in the ambulances and hospitals were not sufficient,and most doctors and nurses could only perform surrounding vein puncture,and debridement and suture surgery.They could not recue critically ill patients alone.Conclusions For these township hospitals,the service radius is too long,the number of doctors and nurses is too small,and the ability of service is insufficient.In order to meet the demand of emergency resources in ethnic areas as far as possible,we should increase investment and promote medical devices,increase the number of doctors and nurses,improve the personnel structure,and strengthen professional training.
出处
《华西医学》
CAS
2016年第7期1304-1307,共4页
West China Medical Journal
关键词
民族地区
急诊医学
流行病学
Minority regions
Emergency medicine
Epidemiology
