山西省173家医疗机构医疗废物管理现状调查

Survey on current situation of medical waste management from 173 medical institutions,Shanxi province

目的了解山西省医疗机构医疗废物管理现状,为进一步加强医疗机构医疗废物管理提供决策依据。方法采用分层随机抽样的方法,对山西省173家医疗机构2016和2017年在医疗废物管理、医疗废物产生量和处置费用等方面的情况进行调查。结果山西省173家不同级别的医疗机构全部实现了医疗废物分类管理,94.80%的医疗机构实现了集中处置;90.75%的机构能在2d内将医疗废物进行处置;医疗废物每日产生量介于0~2.20kg/床·日,2016年和2017年分别有80.95%和83.33%的医疗机构每日产生量低于0.10kg/床·d;医疗废物年处置费介于0~144万元,其中20万元以内的机构所占比例最高,2016年为63.58%,2017年为67.95%;年处置费用超过100万元的机构有4家,均为山西省省级三级甲等医院。结论山西省医疗机构医疗废物管理基本规范,但在多部门协作、医疗废物统一监管以及信息化管理水平等方面还有待提高。

Objective To understand the current situation of medical waste management in medical institutions in Shanxi province,so as to provide a theoretical basis for strengthening medical waste management. Methods A stratified random sampling method was used to investigate the medical waste management,medical waste output and disposal cost of173 medical institutions in Shanxi province in 2016 and 2017. Results 173 medical institutions all carried medical waste classification management;94.80% of the 173 medical institutions disposed medical waste centralized;90.75% of the institutions disposed medical waste within 2 days;the weight of medical waste in 2016 and 2017 ranged from 0 to 2.2 kg every bed per day,of which 80.95%in 2016 and 83.33%in 2017 of medical institutions produced medical waste less than0.10 kg every bed per day;the annual disposal costs of medical waste was between 0 to 1.44 million CNY,63.58%of the institutions in 2016 and 67.95%in 2017 were within 0.20 million CNY;there were 4 institutions with an annual disposal cost of more than 1.00 million CNY. Conclusion The medical waste management of medical institutions in Shanxi province is basically standardized,but it needs to be improved in the aspects of multi-department cooperation,unified supervision of medical waste and information management level.