《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (12): 1475-1478.

• 国际会议报道 • 上一篇    下一篇

上海市康复医疗资源与服务开展现状调查

陈刚 1，周萍 2，窦蕾 1，李晨 2，刘佩 1，解凤民 1，冯亚婷 1，吕军 1   

  1. 1.复旦大学公共卫生学院，上海市 200032；2.上海市卫生和计划生育委员会，上海市 200125。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-12-25 发布日期:2015-12-25

Investigation of Rehabilitation Medical Resources and Services in Shanghai

CHEN Gang1, ZHOU Ping2, DOU Lei1, LI Chen2, LIU Pei1, XIE Feng-min1, FENG Ya-ting1, LÜ Jun1
  

  1. 1. School of Public Health, Fudan University, Shanghai 200032, China; 2. Shanghai Municipal Commission of Health and Family Planning, Shanghai 200125, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-12-25 Online:2015-12-25

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摘要： 目的 了解上海市康复资源配置及服务提供情况，明确现状与问题，为上海市康复医疗服务体系规划提供依据。方法 基于 “结构-过程-结果” 理论框架，围绕康复科室设置、人力、床位、设备、房屋、收支、转诊及服务提供等内容，对综合医院、康复医院、社区卫生服务中心进行问卷调查与现场考察。结果 三类调查机构中康复医师321人，康复治疗师860人，康复护士 666人；康复编制床位 2199张，实有床位 2573张。综合医院、康复医院、社区卫生服务中心康复服务开展率分别为 94.79%、100.00%、75.56%，康复设备整体配备率分别为 50.79%、71.15%、17.77%，康复诊疗项目门诊开展率分别为 27.73%、30.00%、13.21%。结论 上海市三级康复医疗服务体系架构初步形成，但是在康复功能落实方面还存在许多问题。康复医疗服务体系规划应将康复服务能力建设、人员队伍建设、康复资源配置、康复服务转诊作为建设重点。

关键词: 康复医疗资源, 康复服务, 上海市

Abstract: Objective To investigate Shanghai rehabilitation resources and services, define the status and problems and provide suggestions for making Shanghai rehabilitation health care system planning. Methods Based on the "Structure-Process-Result" theoretical framework, the questionnaire survey and field investigation were conducted on medical institutions in term of the rehabilitation departments setting, manpower, beds, equipment, housing, income and expenditure, and referral services. Results There were 321 rehabilitation doctors, 860 rehabilitation therapists and 666 rehabilitation nurses, 2199 preparation beds and 2573 real beds in all kinds of rehabilitation medical institutions. The rates of carrying out rehabilitation services were 94.79% in general hospitals, 100.00% in rehabilitation hospitals, 75.56% in community health service centers, rehabilitation equipment rates were 50.79%, 71.15%, 17.77%, and 27.73 %, 30.00%, 13.21% of them provided outpatient rehabilitation services. Conclusion Shanghai tertiary rehabilitation medical services architecture has initially formed, however, there are still many problems in the rehabilitation function. The rehabilitation health care system planning should focus on rehabilitation services capacity, rehabilitation staff team, rehabilitation resources and services referrals.

Key words: rehabilitation medical resources, rehabilitation service, Shanghai