上海市非公立医疗单位口腔卫生人力资源的调查分析

Investigation of dental manpower in non-public medical units in Shanghai

目的:对2007年上海市非公立口腔医疗单位进行普查,分析了解2007年上海市非公立医疗单位口腔卫生人力的数量、结构、层次、分布、设备状况及口腔门诊工作情况,探讨存在的问题,为进一步研究全上海的口腔卫生人力资源提供参考,同时也为上海市达到口腔卫生人力资源的合理配置和有效利用提供参考。方法:采用问卷调查方式,对上海市所有非公立口腔医疗服务单位进行普查。调查方式采用直接访问和电话访问。调查内容包括上海市非公立口腔卫生人力资源的数量、结构、层次、分布、设备状况、门诊工作情况以及目前上海市非公立口腔医疗单位紧缺的口腔医师专业等。结果:上海市非公立口腔医疗单位共有488家,医生1172人,护士848人,技工79人,椅位1377台;口腔医生以中级职称、中青年、大学本科、口腔综合为主,分别占44.88%、86.9%、51.28%和89.59%,护士以初级职称、中专及以下人员组成,占81.84%和75.47%,医生、护士、技工比为15∶11∶1;上海市非公立口腔医疗单位和口腔卫生人力资源集中分布在中心城区(占54.1%),57.85%的医生、61.57%的护士和79.75%的技工集中在中心城区;2007年门诊量为97.665万人次,其中61.42%选择中心城区就诊,38.97%的单位认为门诊量较少或太少,57.82%认为恰好;20.04%的单位认为本单位缺口腔科医生,其中,68.09%的单位认为缺口腔综合医生。结论:上海市非公立口腔卫生人力资源主要集中在中心城区和浦东新区,结构层次合理,患者也主要选择中心城区的医疗机构就诊,有相当比例的单位认为门诊量少,口腔综合医生的需求量相对最大。

PURPOSE： A mass survey on dental manpower was made in non-public medical units in Shanghai in 2007 to analyze the number, structure, composition, distribution, equipment and out -patient departments （OPDs） of dental manpower and to approach the existing problems, The purpose was to provide information for investigating the dental manpower in Shanghai and the reasonable allocation and utilization of the dental manpower in Shanghai. METHODS： A mass survey on dental manpower was made in non-public medical units in Shanghai in 2007 by means of questionnaire investigation, which included direct interview and telephone interview. The survey content included the number, structure, composition,distribution,equipment and out-patient departments（OPDs） of dental manpower in non-public medical units in Shanghai. RESULTS： There were 488 non-public dental units and 1172 dentists, 848 nurses, 79 technicians, 1377 dental units in Shanghai. 86.9% of the dentists were young and middle-aged, 44.88% of them had middle level professional tiles, 51.28% of them had university educational background and the specialty of 89.59% of the dentists was general dentistry. 81.84% of the nurses had primary professional tiles and 75.47% of the nurses＇ educational background was below the junior college degree. The ratio of the dentists to nurses to technicians was 15：11：1. The non-public dental units and dental manpower resources were concentrated in the downtown with 54.1% of the units, 57.85% of the dentists, 61.57% of the nurses and 79.75% of the technicians there. The total amount of dental out-patient departments DOPDs in non-public medical units in Shanghai in 2007 was 976,650 , 61.42% in the downtown. 38.97% of the units thought the DOPDs were few or less while 57.82% considered it was just right. Among them, 20.04% of the units thought their units needed dentists. Among them, 68.09% of the units needed general dentists. CONCLUSIONS： Dental manpower in non- public medical units in Shanghai concentrates in the downtown and Pudong new area. The structure and composition are reasonable. Most of the patients visit the non-public units in the downtown for treatment, many units think their amount of out-patient is small and they need general dentists mostly.