中文摘要：

目的：对江西省基层医疗机构2型糖尿病的诊疗服务能力进行基线调查,为在全省基层医疗机构合理配置卫生资源、防控糖尿病提供依据。方法：对江西省基层医疗卫生机构2型糖尿病的诊疗服务能力进行普查,并利用SPSS 21.0软件进行分析。结果：江西省每家基层医疗机构2012-2014年糖尿病年均门诊人次232.49,门诊患者进入基本诊疗路径20.51人次;2012-2014年均住院人次20.66,住院患者进入基本诊疗路径5.65人次。在内分泌专科进修3个月以上医师数为0.49人次。江西省基层医疗机构内科医师本科、大专、中专和中专以下的比例分别为21.94%、61.43%、15.54%、1.09%;高级、中级、初级及以下内科医师的比例分别为3.63%、33.46%与62.91%。平均每家基层医疗机构配备便携式血糖仪4.16台、全自动生化分析仪0.80台、导联同步心电图机1.16台、糖化血红蛋白检测仪0.26台。结论：基层医疗卫生机构糖尿病的诊疗服务能力偏低,原因在于基层医疗机构内分泌专科医生严重缺乏,参加进修培训的人次数明显低于全国水平,基层医务人员学历和职称层次较低,诊疗设备短缺。

英文摘要：

Objective To conduct baseline survey on medical service ability for type 2diabetes in grassroots medical institutions of Jiangxi Province,in order to provide basis for rational allocation of health resources and prevention and control of type 2diabetes in the whole province.Methods We carried out census on medical service ability for type 2diabetes in grassroots medical institutions of Jiangxi Province and then made a statistical analysis by SPSS 21.0.Results The average outpatient visits of type 2diabetes were 232.49.The number of outpatients in basic clinical path was20.51.The hospitalized patients were averaged 20.66 annually from 2012 to 2014.Hospitalized patients in basic clinical path were 5.65.The number of doctors who had further training in endocrine specialized subject for more than 3months was 0.49.The proportions of educational background were 21.94%,61.43%,15.54%and 61.43%respectively for primary care physicians who owned bachelor degree,college degree,technical secondary school education and without secondary specialized school education.The proportions were 3.63%,33.46% and 62.91% respectively for primary care physicians who owned senior professional title,intermediate professional title and junior title.Each grassroots medical institutions is equipped with 4.16 portable blood glucose meters,0.80 full automatic biochemical analyzer,1.16 lead synchronous ECG machines,0.26 glycosylated hemoglobin detector.Conclusions The ability to diagnose and treat type 2diabetes is low in grassroots medical institutions.The reasons include lack of endocrine specialists,number of physicians being trained significantly lower than national standard,lower educational background and professional titles,and shortage of medical equipment.