上海市二级以上公立医院儿科急诊现状调查

Status survey on pediatric emergency in secondary and tertiary public hospitals in Shanghai city

目的了解目前上海市儿科急诊的现状及存在的问题,为儿科急诊的建设与管理提供依据。方法采用调查问卷的方式,对上海市二级以上公立医院的儿科急诊进行现状调查。结果共发放调查问卷28份,有效问卷28份。28家医院中6家无行政上独立的儿科急诊或者无独立的儿科急诊区域。22家医院中,除了1家二级医院缺少儿科急诊专科医生,其余医院儿科急诊专科医生数平均9.7名。儿科急诊专科医生占在岗医生数的比例平均为70.0%。22家医院中,18家(81.8%)儿科急诊是24 h开放的,14家(63.6%)具有独立的预检分诊,8家(36.4%)儿童急救室与成人合用。22家医院中,20家医院填写了儿科年急诊总量,儿科年急诊总量在2791~467428例次,平均为93966.65例次。结论上海市二级以上医院儿科急诊仍然存在发展不均衡、人力资源不足、人员培训不达标、设备配备不齐全、关键急救技术缺失等问题,儿科急诊的建设与管理仍需要完善。

Objective To understand the current situations and existing problems of pediatric emergency in Shanghai city and provide a basis for the construction and management of pediatric emergency.Methods The questionnaire survey was used to investigate the current situations of pediatric emergency department in secondary and tertiary public hospitals in Shanghai city.Results A total of 28 questionnaires were delivered,and 28 were responded.Six of the 28 hospitals had no administratively independent pediatric emergency or no separate pediatric emergency area.Of the 22 hospitals,each had an average of 9.7 professional emergency pediatricians,with the exception of one secondary hospital that lacked professional emergency pediatricians.Professional emergency pediatricians accounted for an average of 70.0%of all pediatricians.Of the 22 hospitals,18(81.8%)were open 24 hours a day.Fourteen(63.6%)had independent triage.Eight children′s emergency rooms(36.4%)were shared with adults.Among the 22 hospitals,20 hospitals filled in the annual total number of pediatric emergency visits,and the total number of pediatric emergency visits ranged from 2791 to 467428,with an average of 93966.65.Conclusion There are still some problems in the development of pediatric emergency department in secondary and tertiary public hospitals in Shanghai city,such as insufficient human resources,substandard personnel training,incomplete equipment and lack of critical first-aid techniques.Therefore,the construction and management of pediatric emergency department still need to be improved.