提高基层医院神经外科医生临床能力解决方案的探讨

Exploration on pathway for improving the clinical ability of neurosurgeon in primary hospitals

目的:探讨加强基层医院神经外科专业技术能力与人文素养的解决方案,提高基层医院神经外科临床水平。方法:综合分析文献检索以及在张家口市第一医院工作实践中所收集信息,提取基层医院神经外科医生临床能力培养方面存在的问题,根据开展分级诊疗的要求,探索提高基层医院神经外科医生临床能力的基本路径,并通过建立临床规范和制度保障医疗质量。结果:从万方数据库检索到2006-2015年间我国期刊关于提高基层医院医生能力的研究报道819篇,文献计量分析表明呈逐年增加趋势,2015年发文数量是2006年的5.21倍,其中涉及神经外科领域有28篇,占论文总数的3.42%。研究热点反映在基层医院进修医生的培养模式、帮助基层医院掌握微创神经外科技术以及现代神经外科技术理论与知识的推广等。结论:提高基层医院医生能力,应结合分级诊疗、基层医院神经外科疾病谱的特点以及基层医院神经外科医生的现状,从制定适宜的培训方案、建立相应的临床规范、推广必要的神经外科技术三方面入手,以保障分级诊疗落到实处。

Objective: To explore the solutions to enhance the professional skills and humanistic quality of neurosurgery in theprimary hospitals, and to improve the neurosurgery medical carelevel. Methods: a comprehensive analysis of the literature retrieval as well as information collected in practice the first hospital of Zhangjiakou in, extract the problems of neurosurgeon training in primaryhospital, to carry out grading treatment requirements, explore the basic path to improve the clinical ability of primary hospital neurosurgeon, and through the establishment of standard clinical operating procedures and systems to ensure thequality of medical service. Results: from Wanfang database retrieved from 2006 to 2015 research journals in Chinese on improving grassroots doctors ability of 819 papers, bibliometric analysis shows that the trend is increasing year by year, in2015 issued a number is 5.21 times in 2006. There are 28 papers including neurosurgery area, accounting for 3.42% of thetotal number of papers; the hot topics focus in the mode of training neurosurgery doctors in primary hospitals,transfer thetechnology of minimally invasive neurosurgery and spreadmodern neurosurgery theory and knowledge. Conclusion: toimprove the ability of doctorsof primary hospitals should be combined with the characteristics of local diseasesand primaryhospital neurosurgeon status, from making training plan, appropriate to establish the corresponding clinical standard,promote the essential neurosurgery technology, in order to ensure implementation of the tiered diagnosis and treatment .