摘要
目的分析健康体检(管理)机构2019年度主检医师配置情况。方法本研究为现况研究。采用普查法,通过问卷调查收集5428家健康体检(管理)机构2019年度基本情况(机构名称、机构地址、机构性质、隶属关系、机构类别和机构级别等)和主检医师配置情况(性别、出生年份、专职与否、执业类型、职称等级和从事健康体检与管理工作的时间等),采用卡方检验对数据进行统计分析。结果主检医师执业类型上,公立和社会办机构内科医师占比分别为72.84%和68.23%,外科医师占比分别为27.16%和31.77%,两者分布差异有统计学意义(χ^(2)=19.632,P<0.05);三级、二级、一级和未定级机构内科医师占比分别为75.76%、69.14%、68.60%和68.78%,外科医师占比分别为24.24%、30.56%、31.40%和31.22%,两者分布差异有统计学意义(χ^(2)=47.682,P<0.05)。主检医师职称等级上,公立和社会办机构副高级占比分别为69.56%和73.66%、高级占比分别为30.44%和26.34%,两者分布差异有统计学意义(χ^(2)=15.276,P<0.05);三级、二级、一级和未定级机构副高级占比分别为62.72%、75.55%、78.40%和74.51%,高级占比分别为37.28%、24.45%、21.60%和25.49%,两者分布差异有统计学意义(χ^(2)=168.462,P<0.05)。全国主检医师平均配置人数为1.67人,其中华北地区最多,为2.10人,西南地区最少,为1.49人。全国主检医师资质达标率为33.37%,其中仅华北地区(48.64%)和华东地区(37.05%)超过全国平均水平,东北地区最低,为24.01%。结论我国主检医师配置存在区域差异,并且队伍能力水平发展不平衡、不充分的矛盾依然突出。
Objective To analyze the allocation of chief examining physicians in health examination(management)institutions in 2019.Methods A current situation study.Using a census method,a questionnaire survey was conducted to collect basic information(such as institution name,address,nature,affiliation,category,and level)and the allocation of chief physicians(such as gender,year of birth,full-time or part-time,type of practice,level of professional title,and years of engagement in health examination and management work)of 5428 health examination(management)institutions in 2019.The collected data were statistically analyzed using chi-square test.Results In terms of the type of practice of chief physicians,the proportions of internal medicine physicians in public and privately-run institutions was 72.84%and 68.23%,respectively,with a statistically significant difference in distribution(χ^(2)=19.632,P<0.05);the proportions of surgeons was 27.16%and 31.77%,respectively.The proportions of internal medicine physicians in third-,second-,first-,and unclassified-level institutions was 75.76%,69.14%,68.60%,and 68.78%,respectively;the proportions of surgeons was 24.24%,30.56%,31.40%,and 31.22%,respectively;with a statistically significant difference in distribution(χ^(2)=47.682,P<0.05).In terms of the level of professional title of chief physicians,the proportions of associate senior physicians in public and privately-run institutions was 69.56%and 73.66%,respectively,and the proportions of senior physicians was 30.44%and 26.34%,respectively,with a statistically significant difference in distribution(χ^(2)=15.276,P<0.05);the proportions of associate senior physicians in third-,second-,first-,and unclassified-level institutions was 62.72%,75.55%,78.40%,and 74.51%,respectively,with the proportions of senior physicians being 37.28%,24.45%,21.60%,and 25.49%,respectively,with a statistically significant difference in distribution(χ^(2)=168.462,P<0.05).The average number of chief physicians per institution in China was 1.67,with the highest number in the North China(2.10)and the lowest number in the Southwest region(1.49).The compliance rate of chief physicians with qualifications was 33.37%nationwide,with only the North China(48.64%)and the East China(37.05%)surpassing the national average,and the lowest rate was in the Northeast region(24.01%).Conclusions There are regional differences in the allocation of chief examining physicians in China,and the uneven and insufficient development of their skills and abilities remains a prominent contradiction.
作者
林任
李颖
万里
魏丽
夏普
唐世琪
徐丽娟
Lin Ren;Li Ying;Wan Li;Wei Li;Xia Pu;Tang Shiqi;Xu Lijuan(Physical Examination Center,Renmin Hospital of Wuhan University,Wuhan 430060,China;Physical Examination Center,Jingzhou First People′s Hospital,Jingzhou 434000,China;Department of Health Management Medicine,Gongan County People′s Hospital,Jingzhou 434300,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2023年第12期904-908,共5页
Chinese Journal of Health Management
基金
湖北省卫生健康委面上项目(WJ2023M083)。
关键词
体格检查
主检医师
健康管理
工作负荷
资源配置
Physical examination
Chief examining physicians
Health management
Work load
Resource allocation
