摘要
目的:调查分析“十三五”末云南省口腔卫生资源的配置现状,为政府卫生行政部门合理配置口腔卫生资源、制订区域口腔卫生健康规划提供依据。方法:采用普查的方法进行横断面研究,对云南省内截至2020年1月1日在卫生行政部门登记注册的各级各类口腔医疗机构的物力和人力资源配置情况进行调查,并对全省口腔卫生资源分布现状进行描述性统计分析。结果:云南全省共有口腔医疗机构2 712家,包括公立医疗机构634家,非公立医疗机构2 078家;昆明市口腔医疗机构最多(1 167家),迪庆州最少(19家)。口腔综合治疗椅9 018台,包括公立医疗机构2 584台,非公立医疗机构6 434台;昆明市拥有的牙椅数最多(3 612台),怒江州最少(57台)。口腔颌面外科病床702张,全部分布于公立医疗机构。口腔卫生人员15 148人,包括公立医疗机构3 667人,非公立医疗机构11 481人。全省口腔医师人口比平均为1∶6 615,德宏州(1∶6 620)接近全省平均水平,昆明市(1∶2 283)和玉溪市(1∶4 936)低于全省平均水平,其余13个州(市)均高于全省平均水平;而口腔执业医师人口比仅为1∶9 110。全省平均口腔医护比为1∶0.94,红河州(1∶1.05)、昆明市(1∶1.00)、玉溪市(1∶1.18)和曲靖市(1∶0.94)口腔医护比优于或达到全省平均水平,其余13个州(市)均低于全省平均水平;其中公立综合医疗机构口腔科医护比仅为1∶0.38。结论:云南省口腔卫生资源在公立和非公立口腔医疗机构间、在各州(市)间分布不均衡,口腔卫生资源主要分布在经济相对发达的州(市)和非公立口腔医疗机构。云南省口腔卫生人力资源数量不足、结构欠合理,公立综合医疗机构口腔护士配比严重不足。
Objective To investigate and analyze the allocation status of oral health resources in Yunnan Province at the end of the 13th Five-Year Plan,providing a scientific basis for the rational resource allocation and formulation regional oral health plan for government health administrative departments.Methods With the method of general survey,a cross-sectional study was conducted to investigate the allocation of material and human resources of all kinds of stomatological medical institutions registered in the health administrative departments in Yunnan before January 1,2020.The general situation of oral health resources was analyzed by descriptive statistical analysis.Results There were 2712 stomatological medical institutions in Yunnan,634 public and 2078 non-public included.The largest number was in Kunming(1167)and the least in Diqing(19).There were 9018 dental chairs in total,among which 2584 in public and 6434 in non-public.Kunming had the largest number of chairs(3612)and Nujiang had the least(57).There were 702 oral and maxillofacial surgical beds,all of which were distributed in public.There were 15148 stomatological personnel,including 3667 in public and 11481 in non-public.The average ratio of stomatologist to population was 1∶6615.Dehong(1∶6620)was close to this average level,while Kunming(1∶2283)and Yuxi(1∶4936)were lower than the average and the other 13 states(cities)were higher.The population ratio of licensed stomatologist was only 1∶9110.The average ratio of stomatologist to nurses was 1∶0.94.Honghe(1∶1.05),Kunming(1∶1.00),Yuxi(1∶1.18)and Qujing(1∶0.94)was better than or reached the average level,while the other 13 states(cities)were lower than this average.And this ratio in public comprehensive medical institutions was only 1∶0.38.Conclusions The distribution of oral health resources in Yunnan was unbalanced between public and non-public institutions and among states(cities),mainly distributed in economically developed states(cities)and non-public institutions.For the oral health in Yunnan Province,the workforce was insufficient and the structure was unreasonable,and the proportion of nurses was seriously insufficient in public comprehensive medical institutions.
作者
鲁文琳
孙琦
尹章成
于洋
张石楠
许彪
刘娟
Lu Wenlin;Sun Qi;Yin Zhangcheng;Yu Yang;Zhang Shinan;Xu Biao;Liu Juan(Department of Second Outpatient,Kunming Medical University School and Hospital of Stomatology,Yunnan Key Laboratory of Stomatology,Kunming 650106,China;Department of Preventive Dentistry,Kunming Medical University School and Hospital of Stomatology,Yunnan Key Laboratory of Stomatology,Kunming 650106,China;Department of Integrated Office,Kunming Medical University School and Hospital of Stomatology,Yunnan Key Laboratory of Stomatology,Kunming 650106,China;Department of Stomatology,Kunming Maternal and Child Health Hospital,Kunming 650106,China;Department of Oral and Maxillofacial Surgery,Kunming Medical University School and Hospital of Stomatology,Yunnan Key Laboratory of Stomatology,Kunming 650106,China)
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
2023年第10期1034-1040,共7页
Chinese Journal of Stomatology
基金
国家社会科学基金(20XMZ068)。
关键词
卫生资源
牙科卫生人员
医院
公立
医院
私立
口腔医疗机构
口腔人力资源
云南省
Health resources
Dental hygienists
Hospitals,public
Hospitals,private
Stomatological medical institutions
Stomatological personnel
Yunnan Province