长江三角洲地区三级医疗机构输血科建设情况分析

Construction of Blood Transfusion Departments in tertiary hospitals in Yangtze River Delta

目的通过对长江三角洲地区(以下简称"长三角")三级医疗机构临床用血和输血科专职专业技术人员情况的调查、分析,为卫生健康行政部门和医疗机构对临床输血管理决策与输血科规范化建设提供依据。方法依据《临床用血质量控制指标(2019年版)》,选取长三角三级医疗机构共435家,进行统计分析。结果 435家三级医疗机构中输血科独立设置316家(72.64%,316/435),未独立设置119家(27.36%,119/435);符合国家输血科设置相关标准295家(67.82%,295/435);符合地方输血科设置相关标准263家(60.46%,263/435)。长三角地区各省份用血量前10的三级医疗机构仅5家符合国家输血科专业技术人员配置相关标准,17家符合地方输血科专业技术人员配置相关标准;床位数前10的三级医疗机构仅9家符合国家输血科专业技术人员配置相关标准,19家符合地方输血科专业技术人员配置相关标准。输血科专职专业技术人员中,医技、医师、护士分别占91.03%、6.46%、2.52%;博士、硕士、本科及以下学历分别占1.74%、12.4%、85.86%;高级、中级、初级及以下职称分别占18.82%、38.61%和42.58%。结论长三角三级医疗机构输血科组织机构与人才队伍建设有待加强与完善,加强输血科规范化建设,提高临床科学合理用血水平。

Objective To investigate and analyze the clinical blood use and full-time professional technical personnel of Blood Transfusion Departments in tertiary hospitals in the Yangtze River Delta, in order to provide basis for health administration and medical institutions to make decisions on clinical blood transfusion management and standardize the construction of Blood Transfusion Departments. Methods According to the Clinical Blood Quality Control Index(2019 Edition), 435 tertiary hospitals in the Yangtze River Delta were selected for statistical analysis.Results Among the 435 tertiary hospitals, 316(72.64%,316/435) set up independent Blood Transfusion Departments, but 119(27.36%,119/435) did not. 295(67.82%,295/435) met the national standards for Blood Transfusion Department, and 263(60.46%,263/435) met the local standards. Only 5 of the top 10 tertiary hospitals with the most consumption of blood in the Yangtze River Delta met the national standards for the allocation of blood transfusion professional and technical personnel, and 17 hospitals met the local standards. Nine of the top 10 tertiary hospitals with the most beds met the national standards for blood transfusion professional and technical personnel, and 19 met the local standards. Among the full-time professional technicians in Blood Transfusion Department, medical technicians, physicians and nurses accounted for 91.03%, 6.46% and 2.52%;doctor, master, bachelor and below accounted for 1.74%, 12.4% and 85.86%;senior, intermediate, junior and below titles accounted for 18.82%, 38.61% and 42.58%, respectively. Conclusion Standardized construction of Blood Transfusion Department of tertiary hospitals in the Yangtze River Delta, including organization and talent team construction, needs to be strengthened to improve scientific and rational use of clinical blood.