《中国康复理论与实践》

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (2): 125-140.doi: 10.3969/j.issn.1006-9771.2024.02.001

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2022年度国家康复医疗服务与质量安全报告

刘京宇, 杨延砚, 张元鸣飞, 刘小燮, 张娜, 张之良, 周谋望()   

  1. 国家康复医学专业医疗质量控制中心/北京大学第三医院康复医学科，北京市 100191
  • 收稿日期:2024-01-06 出版日期:2024-02-25 发布日期:2024-03-01
  • 通讯作者: 周谋望 E-mail:zhoumouwang@163.com
  • 作者简介:刘京宇(1990-)，女，汉族，北京市人，博士，主治医师，主要研究方向：骨科康复、康复质控、超声介入。

2022 Country Report on Medical Rehabilitation Services, Quality and Safety in Health Care System

LIU Jingyu, YANG Yanyan, ZHANG Yuanmingfei, LIU Xiaoxie, ZHANG Na, ZHANG Zhiliang, ZHOU Mouwang()   

  1. National Center for Quality Management and Control of Rehabilitation Medicine/Department of Rehabilitation Medicine, Peking University Third Hospital, Beijing 100191, China
  • Received:2024-01-06 Published:2024-02-25 Online:2024-03-01
  • Contact: ZHOU Mouwang E-mail:zhoumouwang@163.com

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摘要：

目的 从医疗机构康复医疗服务结构、环节和结局质量等方面，分析2021年全国综合医院康复医学科和康复医院的医疗服务和质量安全情况。
方法 本报告数据来源于国家医疗质量管理与控制信息系统。2022年度调查共纳入全国9 328家医疗机构的康复医疗质量相关数据，涵盖全部二级以上综合医院、康复医院，也包含中医和中西医结合综合医院。数据清洗后实际纳入2 513家配置康复医学科病房的医院数据，对其进行康复医疗服务质量分析。
结果 在2022年度纳入调查的9 328家综合医院中，仅2 713家设置有康复医学科病房。综合医院中，56.77%医院的平均每床配置医师数、80.36%医院的平均每床配置康复治疗师数、53.53%医院的平均每床配置护士数未达到国家要求，且各地区康复医学科每床平均配置康复医务人员数差距较大。综合医院骨科、神经内科和重症医学科病房早期康复介入率分别为13.45%、20.67%和29.74%。综合医院康复医学科出院患者平均日常生活活动能力改善率为77.87%，康复医院为69.01%。
结论 2021年我国康复医疗服务和质量安全整体稳中有升，但全国多数综合医院仍未配置康复医学科病房，且康复医务人员总量未满足要求，康复早期介入仍有较大提升空间，重点评定和治疗项目开展存在欠缺，康复治疗效果尚有提升空间。需持续推动康复医疗服务能力建设，进一步提升康复医疗质量。

关键词: 康复医学, 医疗服务, 质量, 安全, 质量控制

Abstract:

Objective To analyze the medical services, quality and safety of rehabilitation medicine departments in general hospitals and rehabilitation hospitals in 2021 in perspectives of structure, segment and outcome quality.
Methods We analyzed the data from National Clinical Improvement System of the National Health Commission, involving 9 328 hospitals, including all secondary and above general hospitals and rehabilitation hospitals, as well as traditional Chinese Medicine hospitals and integrated traditional Chinese and Western medicine hospitals in 2021. A total of 2 513 sampling hospitals that equipped with rehabilitation wards were included.
Results Among the 9 328 general hospitals surveyed this year, only 2 713 had rehabilitation wards. In general hospitals, the average number of physicians per bed in 56.77% hospitals, the average number of rehabilitation therapists per bed in 80.36% hospitals, and the average number of nurses per bed in 53.53% hospitals did not meet the national requirements, and the average number of rehabilitation medical personnel per bed in rehabilitation medicine departments in different regions was significantly different. The rates of early rehabilitation intervention were 13.45%, 20.67% and 29.74% respectively in department of orthopedics, department of neurology and intensive care units in general hospitals. The average improvement rate of activities of daily living of discharged patients was 77.87% in rehabilitation department of general hospitals, and 69.01% in rehabilitation hospitals.
Conclusion In 2021, professional medical services, quality and safety of rehabilitation medicine in China have improved steadily. However, most general hospitals in China still have not configured the rehabilitation wards, and there are problems such as the total number of rehabilitation medical personnel in the country does not meet the requirements, early rehabilitation intervention is significantly insufficient, and the implementation of important evaluation and therapies is deficient. The effect of rehabilitation still needs to improve. It is necessary to continuously promote capacity building of the medical rehabilitation to improve the quality of medical rehabilitation services.

Key words: rehabilitation medicine, medical service, quality, safety, quality control

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