摘要
目的：了解上海市政府实事舒缓疗护（临终关怀）项目试点机构临终关怀科的人力资源现状及存在的问题，为制定临终关怀政策提供依据。方法以上海市18家临终关怀项目试点机构即18家社区卫生服务中心的临终关怀科为调查对象。于2014年3月，采用自行设计的结构式调查问卷和报表，对其人力资源情况进行调查。结果18家试点机构共有职工2947人，其中执业医师990人，注册护士1031人；核定床位总数为2314张，其中临终关怀床位数为234张，占核定床位总数的10.1％。18家试点机构临终关怀科共有执业医师123人，年龄为30～39岁者占61.0％，学历为本科者占86.2％，职称为中级者占52.0％，初级者占40.7％。18家试点机构临终关怀科共有注册护士172人，年龄为30～39岁者占57.6％，学历为大专者占54.1％，职称为初级者占76.1％。18家试点机构的临终关怀科共有护工177人，其中学历为小学者占85.9％，从业时间为2～5年者占46.9％。临终关怀科医护人员参加临终关怀继续教育的共有150人，占临终关怀科医护人员总数的50.8％。结论临终关怀项目试点机构临终关怀科人力资源总量不足、结构欠合理，医护比、床护比不合理。需进一步提高临终关怀科人员的数量和总体素质，以适应临终关怀事业发展的需要。
Objective To investigate the status and current problems of human resources in the hospice care department of hospice care pilot settings in shanghai , and provide references for the formulation of hospice care policies .Methods We enrolled 18 hospice care pilot settings in Shanghai , namely 18 community health service centers , as the subjects.In March 2014, self-designed structural questionnaire and report form were used to investigate the status of human resources in hospice department.Results In the 18 centers, there were 2 947 employees, among which, 990 were certified doctors and 1 031 were registered nurses; the total number of sick beds was 2 314, of which 234 were for hospice care , accounting for 10.1%.In the hospice care department of the 18 centers, there were 123 certified doctors, among which 61.0% were aged from 30 to 39, 86.2%had bachelor degree , 52.0%had intermediate professional title , 40.7% had primary professional title .There were all together 172 registered nurses, of which 57.6% were aged from 30 to 39, 54.1% had associate degree, 76.1% had primary professional title.There were 177 nursing workers , among which 85.9% received only primary school education , 46.9% had been engaged in hospice care service for 2 to 5 years.There were 150 health workers in the departments of hospice care who participated in the continuing education of hospice care , accounting for 50.8%of all medical staff in the department .Gonclusion The human resources of the hospice care department in hospice care pilot settings are inadequate , with irrational structure , doctor-nurse ratio and bed-nurse ratio.We should further increase the number of medical staff in the department and improve their overall quality , in order to adapt to the needs of new development of hospice care service .
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第22期2648-2650,共3页
Chinese General Practice
