上海市康复人力资源发展现状

doi:10.3969/j.issn.1006-9771.2020.12.017

Abstract

Abstract:

Objective To investigate the rehabilitation human resources in Shanghai.Methods Based on World Health Orgnization Rehabilitation in Health Service System: Action Guide, Rehabilitation Information Collection Template of Supporting Tools for Systematic Assessment of Rehabilitation Status was implemented by Shanghai Rehabilitation Medical Association in accordance with the requirements of Shanghai Rehabilitation Treatment Quality Control Center to investigate the number and knowledge structure of rehabilitation-related practitioners in Shanghai.Results Totally, 311 medical institutions were investigated and 254 institutions set up rehabilitation medicine department, accounting for 82.47%. There were 1414 rehabilitation practitioners and 528 registered rehabilitation physicians, accounting for 37.34%; among them, senior, intermediate and junior professional titles were 142 (26.89%), 262 (49.62%) and 124 (23.48%), respectively. There were 2668 rehabilitation therapists, among which the senior, intermediate and junior professional titles were 11 (0.41%), 461 (17.28%) and 2196 (82.31%), respectively. There were 1614 rehabilitation nurses, among which the senior, intermediate and junior professional titles were 13 (0.81%), 476 (29.49%) and 1125 (69.70%), respectively. There were 2.17 rehabilitation physicians, 11.11 rehabilitation therapists and 6.65 nurses per 100 000 population, which is nearly 1/5 of the international level. There were 121 institutions without rehabilitation medical practitioners and 40 multi-point rehabilitation medical practitioners.Conclusion There is a big gap in rehabilitation physicians, therapists and nurses in Shanghai, compared with the international level. Based on the imperfect occupational series and qualification certification of physiotherapists, occupational therapists, speech therapists and other specialties, it is suggested to conduct targeted job training in multiple channels and forms, especially to strengthen standardized job training and rehabilitation transformation training for rehabilitation practitioners. It is needed to promote the standardized training of resident and specialist rehabilitation practitioners more quickly to meet the needs of clinical rehabilitation work.

Key words: rehabilitation, rehabilitation physician, rehabilitation therapists, nurse, investigation

CLC Number:

R197.7

ZHENG Jie-jiao,SHEN Li-yan,DUAN Lin-ru,DONG Xin,QU Bing,GAO Wen,WU Hong. Investigatation of Rehabilitation Human Resources in Shanghai, China[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(12): 1471-1476.

Figures/Tables 5

References 23

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性质	三级	二级	一级	未定级	总和
公立机构	38(97.44%)	50(94.34%)	161(92%)	4(9.09%)	253(81.35%)
社会办医等	1(2.56%)	3(5.66%)	14(8%)	40(90.91%)	58(18.65%)
总计	39	53	175	44	311

注册与否	三级	二级	一级	未定级	总和
注册	33(84.62%)	45(86.54%)	134(76.57%)	42(100%)	254(82.47%)
未注册	6(15.38%)^a	7(13.46%)	41(23.43%)	0(0%)	54(17.53%)
总计	39	52	175	42	308

等级	康复执业医师(n= 528)	其他执业医师(n= 886)	康复治疗师(n= 2668)	康复护师(n= 1614)
医院等级
三级	177(33.52%)	82(9.26%)	501(18.78%)	188(11.65%)
二级	171(32.39%)	156(17.61%)	660(24.74%)	580(35.94%)
一级	65(12.31%)	369(41.65%)	680(25.49%)	151(9.36%)
未定级	115(21.78%)	279(31.49%)	827(31.00%)	695(43.06%)
职称
高级	142(26.89%)	151(17.04%)	11(0.41%)	13(0.81%)
中级	262(49.62%)	504(56.88%)	461(17.28%)	476(29.49%)
初级	124(23.48%)	231(26.07%)	2196(82.31%)	1125(69.70%)

康复从业人员	n	每10万人康复从业人数 (以上海市常住人口2428万计算)^a
康复从业人员	n	上海现状	国际参考
康复医师	528	2.17	约10
康复治疗师/士	2668	11.11	约50
护师/士	1614	6.65	约30

项目	无康复执业医师 (n= 121)	多点执业康复医师 (n= 40)
医院等级
三级	3(2.48%)	1(2.5%)
二级	11(9.09%)	1(2.5%)
一级	102(84.30%)	32(80%)
未定级	5(4.13%)	6(15%)
医院性质
综合医院	12(9.92%)	4(10%)
专科医院	1(0.83%)	1(2.5%)
中医医院	5(4.13%)	1(2.5%)
护理机构	7(5.79%)	8(20%)
社区	96(79.34%)	26(65%)

Investigatation of Rehabilitation Human Resources in Shanghai, China

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