上海市康复人力资源发展现状

Investigatation of Rehabilitation Human Resources in Shanghai,China

目的调研上海市康复人力资源现状。方法基于世界卫生组织《健康服务体系中的康复:行动指南》“康复现状系统评估配套工具康复信息收集模板”,按照上海市康复治疗质量控制中心要求,上海市康复医学会实施上海市康复相关从业人员数量及其知识结构调查。结果调研医疗机构311家,开设康复医学科254家(82.47%);康复从业医师1414名,注册康复医师528名(37.34%),其中高级、中级、初级职称分别为142名(26.89%)、262名(49.62%)、124名(23.48%);具有康复资质治疗师共2668名,其中高级、中级、初级职称分别为11名(0.41%)、461名(17.28%)、2196名(82.31%);康复护师共1614名,其中高级、中级、初级职称分别为13名(0.81%)、476名(29.49%)、1125名(69.70%)。每10万人口中康复医师、康复治疗师、康复护师分别为2.17人、11.11人、6.65人,仅为国际平均水平的1/5;无康复执业医师机构121家,多点康复执业机构40家。结论上海市的康复医师、治疗师和护师存在较大缺口。基于当前物理治疗师、作业治疗师、言语治疗师等专业的职业系列和资质认证尚未完善的现状,建议多渠道、多形式进行针对性岗位培训,尤其须加强康复从业人员规范化岗位培训和康复转型培训;推进康复住院医师和专科医师规范化培养,快出人才,出好人才,以满足临床康复工作需求。

Objective To investigate the rehabilitation human resources in Shanghai.Methods Based on World Health Orgnization Rehabilitation in Health Service System:Action Guide,Rehabilitation Information Collection Template of Supporting Tools for Systematic Assessment of Rehabilitation Status was implemented by Shanghai Rehabilitation Medical Association in accordance with the requirements of Shanghai Rehabilitation Treatment Quality Control Center to investigate the number and knowledge structure of rehabilitation-related practitioners in Shanghai.Results Totally,311 medical institutions were investigated and 254 institutions set up rehabilitation medicine department,accounting for 82.47%.There were 1414 rehabilitation practitioners and 528 registered rehabilitation physicians,accounting for 37.34%;among them,senior,intermediate and junior professional titles were 142(26.89%),262(49.62%)and 124(23.48%),respectively.There were 2668 rehabilitation therapists,among which the senior,intermediate and junior professional titles were 11(0.41%),461(17.28%)and 2196(82.31%),respectively.There were 1614 rehabilitation nurses,among which the senior,intermediate and junior professional titles were 13(0.81%),476(29.49%)and 1125(69.70%),respectively.There were 2.17 rehabilitation physicians,11.11 rehabilitation therapists and 6.65 nurses per 100000 population,which is nearly 1/5 of the international level.There were 121 institutions without rehabilitation medical practitioners and 40 multi-point rehabilitation medical practitioners.Conclusion There is a big gap in rehabilitation physicians,therapists and nurses in Shanghai,compared with the international level.Based on the imperfect occupational series and qualification certification of physiotherapists,occupational therapists,speech therapists and other specialties,it is suggested to conduct targeted job training in multiple channels and forms,especially to strengthen standardized job training and rehabilitation transformation training for rehabilitation practitioners.It is needed to promote the standardized training of resident and specialist rehabilitation practitioners more quickly to meet the needs of clinical rehabilitation work.