山东省医药卫生三个重点建设工程的现状调查与对策建议

The Current Situation and Countermeasures of Three Key Construction Projects in the Field of Medicine and Health in Shandong Province

目的 了解山东省20年医药卫生重点学科建设现状和存在问题并探讨发展对策.方法 收集1993-2013年原山东省卫生厅批准设立的全部医药卫生重点学科并进行数据统计分析.结果 全省医药卫生机构20年间共建设了99个重点专业、71个重点学科和115个重点实验室,综合性医院拥有数量占74.38％,济南、青岛、潍坊3市拥有数量在全省平均值以上,省立医院和齐鲁医院各以25个居单位拥有量首位,以三级学科名称为规范名称的占63.16％,有10个学科名称在三类重点工程项目中同时出现,涉及71个项目名称.结论 山东省推进医药卫生三个重点建设工程20年取得显著成绩,但存在区域分布不均、公共卫生重点学科少、学科命名混乱等问题,建议修订管理办法、统一规范命名、加强过程监管、平衡学科发展.

Objective To analyze the current situation and existing problems in the construction of key disciplines of medicine and health in 20 years in Shandong province and to explore the development countermeasures.Methods The data of all key disciplines of medicine and health certified by former Shandong Provincial Health Department from 1993 to 2013 were collected and analyzed.Results A total of 99 key professionals,71 key disciplines and 115 key laboratories were constructed in 20 years in the provincial medical and health institutions.The key projects in general hospitals had accounted for 74.38%.The numbers of key projects in Jinan,Qingdao,Weifang City were over the provincial average.Provincial Hospital and Qilu Hospital stayed top with 25 key projects among medical and health institutions.63.16% of the key projects take the three grade discipline name as the standard name.There were ten discipline names emerged in the three key projects conjointly,including the names of 71 items.Conclusions The construction of three key projects of medicine and health in 20 years in Shandong province had gain the marked achievement.However,the problems of regional inequality,the lack of public health discipline,discipline name confusion and other issues still existed.To amendthe management approach,unified specification,strengthening process supervision,balanced development are the countermeasures for the constructions of key projects in Shandong Province.