北京急救中心急救人员现状与对策分析

Current situation of first-aid personnel in Beijing Emergency Medical Center and countermeasure analysis

目的了解北京急救中心急救人员队伍现状及其存在的主要问题。方法对北京市120院外急救网络近年来工作量情况、北京急救中心院外急救人员档案信息进行收集整理和分析。结果北京市120院外医疗急救网络目前设急救分中心20个，运行急救站165个，拥有急救车512辆，实际从业人数2400余人。北京急救中心2014年职工人数为659人，相比2010年有所减少（2010年人数为722人）。卫生专业技术人员比例为58．88％，高于过去4年（49．45％～54．11％）。目前仅有北京急救中心雇佣了50名专职担架员。172名急救医生中具有本科学历的有87人（其中43人为后续学历），专科73人（其中22人为后续学历），硕士3人（全部为后续学历）。一半以上的急救医生是初级职称，副高及以上职称的仅有5人（占2．91％）；近5年北京急救中心共招聘急救医生116名，累计离职87名。结论北京急救中心正面临着急救人员数量不足、流失率高、素质较低和队伍不稳定等问题。

Objective To explore the current situation of Beijing Emergency Medical Center＇ s personnel. Methods The work reports, personnel archieves, and medical records of the Beijing Emergency Medical Center during 2010- 2014 were collected and analyzed. Results There are 20 sub-centers with 165 first-aid stations, 512 ambulances, and more than 2400 staff members. The number of Beijing Emergency Medical Center＇ s staff members in 2014 was 659, less than that in 2010 （722）.The percentage of professional medical workers was 58.88% in 2014, higher than those in the past 4 years （49.45%-54.11%）. Only Beijing Emergency Medical Center employed 50 full-time stretcher bearers. 87 of the 172 emergency doctors of the Beijing Emergency Center had bachelor degree, 43 of which had follow-on education qualification; 73 had associate degree, 22 of which had follow-on education qualification; and 3 had master degree, all with fallow-on education qualification. More than half of the doctors held the primary proffesional title, and only 5 held vice-senior title and above （2.9%）. In the recent 5 years 116 emergency doctors were employed, and 87 emergency doctors quitted. Conclusion The Beijing Emergency Medical Center is facing with the problems of staff shortage, high wastage rate, low quality of personnel, and instability of team.