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2012年广东省医疗机构新生儿科建设和服务能力抽样调查
  • ISSN号:1001-4411
  • 期刊名称:中国妇幼保健
  • 时间:2015.7.20
  • 页码:3541-3545
  • 分类:R47[医药卫生—护理学;医药卫生—临床医学]
  • 作者机构:[1]广东省妇幼保健院新生儿科,广东广州511442
  • 相关基金:国家自然科学基金[71173055]
  • 相关项目:早产儿视网膜病的防治现状和管理模式研究
中文摘要:

目的了解广东省新生儿科建设现状,为进一步促进学科规范管理和发展提供依据。方法采用分层法抽样进行现状调查研究。从广东省21个地级市中按60%的比例抽取13个地级市,按卫生机构行政级别分层后按20%的比例抽取调查样本,填写调查表后汇总分析。结果共抽取122家卫生机构,其中省部级、省会所在地市级、省会以外地市级及县区级卫生机构分别为3家(2.5%)、7家(5.7%)、45家(36.9%)和67家(54.9%),其中独立设置新生儿科的有96家(78.7%),设置新生儿重症监护室(NICU)的有14家(11.5%)。平均新生儿科床位35.9张,平均NICU床位9.7张,平均新生儿科业务用房面积595.5m2,平均床位使用面积16.1m2/床,平均年住院量1375人。医疗设备方面,配置率最高的是输液泵、温箱及喉镜等基本治疗和抢救设备,配置率最低的是一氧化氮治疗仪及亚低温治疗仪等昂贵设备。各项治疗技术的开展率为5.8%~86.7%,开展率最高的为无创辅助通气,各项诊断技术开展率为11.7%~78.3%,最高的为床边摄片。122家卫生机构均开展新法复苏,但空氧混合仪、T-piece复苏器的普及率仍较低,分别为27.9%和32.8%。院间转运开展率为66.4%,各项转运相关设备的配置率为22.1%~62.3%。卫生机构级别越高,其规模越大、收治病人越多、配置医疗设备越全面、开展技术越全面。结论广东省新生儿科发展初具规模,但存在发展不均衡等问题,应制定适合本省特点的学科发展管理规范和改革方向。

英文摘要:

Objective To understand the current situation of establishment of neonatal department in Guangdong, provide a basis for further promoting standard management and development of neonatal department. Methods A status survey was conducted by stratified sampling method; 13 prefecture-level cities were abstracted from 21 prefecture-level cities in Guangdong according to a percentage 'of 60% , after stratification according to administrative level of medical institutions, the survey samples were abstracted according to a percentage of 20% , then the results were summarized and analyzed after finishing questionnaires. Results A total of 122 medical institutions were sur- veyed, including 3 medical institutions at provincial and ministerial-level (2. 5% ), 7 medical institutions at provincial capital level (5.7%), 45 medical institutions at city level (36. 9% ), and 67 medical institutions at county (district) level (54. 9% ) ; 96 medical insti- tutions (78. 7% ) had independent department of neonatology, 14 medical institutions (11.5 % ) had neonatal intensive care unit (NICU) . The mean number of beds in department of neonatology was 35.9, the mean number of beds in NICU was 9. 7 ; the mean area of department of neonatology was 595.5 m2, the mean area per neonatal bed was 16. 1 m2 , the average annual admission was 1 375 patients. For medical devices, the popularization rates of basic treatment and first aid devices were the highest, including infusion pump, phototherapy instrument, face mask, and so on; the popularization rates of expensive devices were the lowest, such as nitric oxide therapeutic equipment, hyp0thermia treatment equipment, and so on. The popularization rates of various treatment techniques ranged from 5.8% to 86. 7%, the popularization rate of non-invasive ventilation was the highest. The popularization rates of various diagnostic techniques ranged from 11.7% to 78.3%, the popularization rate of bedside radiography was the highest. All the 122 medical institutions ca

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期刊信息
  • 《中国妇幼保健》
  • 北大核心期刊(2011版)
  • 主管单位:国家卫生和计划生育委员会
  • 主办单位:中华预防医学会 吉林省医学会
  • 主编:胡国义
  • 地址:长春市建政路971号
  • 邮编:130061
  • 邮箱:zgfybj@sina.com
  • 电话:0431-88929639 88923066
  • 国际标准刊号:ISSN:1001-4411
  • 国内统一刊号:ISSN:22-1127/R
  • 邮发代号:12-94
  • 获奖情况:
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版)
  • 被引量:101800