上海市医疗机构康复床位分析与发展建议

The recommendation based on an analysis of rehabilitation beds allocation of medical institutions in Shanghai

目的 :了解目前上海市医疗机构康复床位的数量及分布情况,明确存在的问题,为上海市康复床位的发展规划提供参考依据。方法 :对上海市医疗机构康复床位进行问卷调查,并结合相关政策与规划的要求进行差距分析。结果 :所调查机构共设置康复床位2 687张;三级综合医院、二级综合医院、康复医院和社区卫生服务中心康复床位设置率为27.28%、44.44%、100.00%和8.82%,康复床位数占比分别为6.44%、50.91%、29.77%和8.49%;康复医师、康复治疗师和康复护士的人床比达标率分别为14.29%、8.57%和22.86%。结论 :上海市医疗机构康复床位总量不足;康复床位主要分布在二级综合医院和康复医院,分布趋势有待进一步改善;康复人力与床位比值达标情况偏低,床位的增设与康复人力培养尚需协同发展。

Objective： To investigate the number and allocation of rehabilitation beds of medical institutions in Shanghai, to identify the problems and to put forward suggestions on the construction of rehabilitation medical service system. Methods： Questionnaire survey was conducted in medical institutions, and the results were compared with relevant policy and planning demands. Results： There were 2 687 rehabilitation beds set in the investigated institutions in total. The setting rates of rehabilitation beds in tertiary general hospitals, secondary general hospitals, rehabilitation hospitals and community health service centers were 27.28%, 44.44%, 100.00% and 8.82%, while the share of rehabilitation beds were 6.44%, 50.91%, 29.77% and 8.49%, respectively. The proportions of tertiary general hospitals, secondary general hospitals and rehabilitation hospitals whose rehabilitation physician to bed ratio, therapist to bed ratio and nurse to bed ratio met the policy and planning demands were 14.29%, 8.57% and 22.86%. Conclusion： The rehabilitation beds were inadequate in quantity and mainly allocated in secondary general hospitals and rehabilitation hospitals. Therefore, it is suggested that the beds allocation be further improved. The rehabilitation human resources to bed ratios were lower than the policy and planning demands. It is suggested that the cultivation of rehabilitation human resources keep pace with the growth of rehabilitation beds.