摘要
目的调查内蒙古自治区各盟市重症医学科的发展现状,以促进内蒙古自治区重症医学规范化、同质化发展,也为学科建设和资源配置提供参考依据.方法采用网络问卷调查、电话数据核实的方式,对内蒙古自治区三级、二级医院综合重症监护病房(ICU)进行调查性研究.依据国家卫生健康委员会2009年下发的《重症医学科建设与管理指南(试行)》(以下简称《指南》)及学科发展趋势制作调查问卷,包括医院基本信息、ICU基本信息、人员配置、医疗质量管理、技术技能、设备配置等6个方面的内容.问卷发放时间为2022年9月.由各医院学科带头人或科主任填写问卷.结果截至2022年10月24日共发放问卷101份,回收问卷85份,问卷回收率为84.16%,其中有效问卷71份,共计71个综合ICU.①内蒙古自治区综合ICU分布有明显的地区差异,呈东西部相对较弱,整体分布不均的特点,其重症医学科的发展仍有所欠缺.②医院基本信息:人口和经济制约ICU的发展进程,西部地区综合ICU床位均数仅为中部地区半数(张:39.0比86.0),东部地区居中(平均83.6张),数量相对不均.③ICU基本信息:调查71个综合ICU中,三级医院44个,二级医院27个.三级医院ICU床位数占总床位数比明显低于二级医院[(1.59±0.81)%比(2.11±1.07)%,P<0.05],明显低于《指南》要求的2%~8%;三级、二级医院ICU床位使用率[(63.63±22.40)%、(44.65±20.66)%,P<0.01]均低于《指南》要求(应以75%为宜).④ICU人员配置:三级医院医生共376人,护士共1117人;二级医院医生共122人,护士共331人.三级医院与二级医院医生职称、医生学历和护理人员职称构成比差异均有统计学意义(均P<0.05).三级医院医生以中级职称为主(主治医师占41.49%),二级医院医生以初级职称为主(住院医师占43.44%);三级医院医生学历普遍高于二级医院(博士:2.13%比0,硕士:37.24%比8.20%);三级医院仅护士人员比例低于二�
Objective To investigate the development present situation of the department of critical care medicine in Inner Mongolia Autonomous Region(hereinafter referred to as Inner Mongolia),in order to promote the standardized and homogeneous development of critical care medicine in Inner Mongolia,and also provide a reference for discipline construction and resource allocation.Methods A survey study was conducted in comprehensive intensive care unit(ICU)of tertiary and secondary hospitals in Inner Mongolia by online questionnaire survey and telephone data verification.The questionnaire was based on the Guidelines for the Construction and Management of Intensive Care Units(Trial)(hereinafter referred to as the Guidelines)issued by the National Health Commission in 2009 and the development trend of the discipline.The questionnaire covered six aspects,including hospital basic information,ICU basic information,personnel allocation,medical quality management,technical skill and equipment configuration.The questionnaire was distributed in September 2022,and it was filled out by the discipline leaders or department heads of each hospital.Results As of October 24,2022,a total of 101 questionnaires had been distributed,85 questionnaires had been recovered,and the questionnaire recovery rate had reached 84.16%,of which 71 valid questionnaires had been collected in a total of 71 comprehensive ICU.①There were noticeable regional differences in the distribution of comprehensive ICU in Inner Mongolia,with a relatively weak distribution in the east and west,and the overall distribution was uneven.The development of critical care medicine in Inner Mongolia was still lacking.②Basic information of hospitals:the population and economy restricted the development of ICU.The average number of comprehensive ICU beds in the western region was only half of that in the central region(beds:39.0 vs.86.0),and the average number of ICU beds in the eastern region was in the middle(83.6 beds),which was relatively uneven.③Basic information of ICU:
作者
马辰东
周丽华
杨飞
李斌
李彩霞
于爱利
吴连奎
尹海波
王君艳
耿立霞
王秀莲
张俊
淖娜
王凯权
苏云
王飞
李玉君
张利鹏
Ma Chendong;Zhou Lihua;Yang Fei;Li Bin;Li Caixia;Yu Aili;Wu Liankui;Yin Haibo;Wang Junyan;Geng Lixia;Wang Xiulian;Zhang Jun;Zhuo Na;Wang Kaiquan;Su Yun;Wang Fei;Li Yujun;Zhang Lipeng(Department of Critical Care Medicine,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Chifeng Hospital,Chifeng 024099,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Hohhot First Hospital,Hohhot 010031,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,People's Hospital of Inner Mongolia Autonomous Region,Hohhot 010020,China;Department of Critical Care Medicine,Xing'an League People's Hospital,Xing'an League 137499,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Affiliated Hospital of Inner Mongolia University for Nationalities,Tongliao 028050,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Inner Mongolia Forestry General Hospital,Hulunbuir 022150,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Baotou Central Hospital,Baotou 014040,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,the First Affiliated Hospital of Baotou Medical College,Baotou 014017,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Second Affiliated Hospital of Baotou Medical College,Baotou 014031,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Ulanqab Central Hospital,Ulanqab 012099,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Xilin Gol League Central Hospital,Xilin Gol League 026099,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Bayannaoer Hospital,Bayannaoer 015002,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Ordos Central Hospital,Ordos 017010,Inner Mongolia Autonomous Region,China;Department of Critical Care Medicine,Wuhai People's Hospital,Wuhai 016099,Inner Mong
出处
《中华危重病急救医学》
CAS
CSCD
北大核心
2023年第9期984-990,共7页
Chinese Critical Care Medicine
基金
内蒙古自治区科技计划项目(2022YFSH0038)。
关键词
重症医学科
现状
普查
内蒙古自治区
Department of critical care medicine
Current situation
Census
Inner Mongolia Autonomous Region
