广西2023年麻醉科医疗服务能力建设的现状分析

Analysis of status on anesthesia medical service capacity construction of Guangxi province in 2023

目的了解广西2023年麻醉科医疗服务能力建设的现状,为进一步提升广西麻醉科医疗服务能力和加强学科建设提供参考依据。方法基于“2023年度广西麻醉科学科建设与医疗服务能力报告”和“2015~2017年广西麻醉专业质量安全现状调查表”,收集与分析2023年和2017年广西医疗机构麻醉科人力资源、业务开展、设备配置等有关数据,使用SPSS 26.0软件对数据进行统计分析。结果2023年,321家医院麻醉科共有手术间2565间,麻醉科医生3307人,麻醉科护士953人,麻醉科医生数与手术间数比为1.3∶1,麻醉医生与手术科室医生比为1∶7.4,麻醉科医护比为0.3∶1。与2017年比,2023年全区麻醉医生博士学历占比(1.8%)和硕士学历占比(17.7%)提高,本科学历占比相等(66.0%),大专及以下学历占比(14.6%)降低;2023年全区麻醉医生主任医师职称占比(4.6%)和副主任医师职称占比(25.2%)提高,主治医师职称占比(37.5%)和住院医师及以下职称占比(32.7%)降低;麻醉科医护比增加。与2017年比,2023年二级医院和三级医院开展胃肠镜麻醉、人工流产麻醉、纤支镜麻醉、介入麻醉、分娩镇痛、麻醉恢复室的比例较高(P<0.05)。与二级医院比,2023年三级医院开设麻醉科重症监护病房、麻醉门诊和日间手术中心或区域的比例较高(P<0.05)。与2017年比,2023年二级医院和三级医院超声诊断仪、心电除颤监护仪、自体血回收机、麻醉深度监测、困难气道急救车、纤维支气管镜、可视喉镜、麻醉信息系统的配置比例较高(P<0.05)。结论截至2023年,广西麻醉科医疗服务能力进一步提升,但有关指标尚未达到国家《麻醉科医疗服务能力建设指南(试行)》建议标准,仍需进一步加强建设。

Objective To investigate of the status quo of anesthesia medical service capacity of Guangxi province and provide a reference for further improving anesthesia medical service capacity and promoting the development of the discipline.Methods Based on the Anesthesia Discipline Construction and Medical Service Capacity System of Guangxi Province in 2023 and the survey on the current status of anesthesia quality and safety in Guangxi province in 2015-2017,the data related to manpower resource,working spectrum and medical equipment of anesthesia were collected and analyzed in 2023 and 2017.The SPSS 26.0 software was used to analyze the data.Results There were a total 2565 operating rooms,3307 anesthetists,953 nurses in 321 hospitals in 2023.The ratio of anesthetist number/operating room numbers was 1.3∶1,while the anesthetist/surgeon ratio was 1∶7.4.The nurse/anesthetist ratio was 0.3∶1.Compared with 2017,the proportion of anesthetists with a doctor degree(1.8%)and a master degree(17.7%)increased,while the proportion of bachelor degree was the same(66.0%),and the proportion of college degree and below(14.6%)decreased in 2023.The proportion of anesthetists with chief physician(4.6%)and deputy chief physician(25.2%)increased,while the proportion of attending physician(37.4%)and resident physician and below(32.7%)decreased in 2023.The nurse/anesthetist ratio increased in 2023.Compared with 2017,the proportion of gastroenteroscopic anesthesia,artificial abortion anesthesia,bronchoscopic anesthesia,interventional anesthesia,labor analgesia and anesthesia recovery room was higher in secondary and tertiary hospitals in 2023(P<0.05).Compared with secondary hospitals,the proportion of gastroenteroscopic anesthesia,bronchoscopic anesthesia,interventional anesthesia,and anesthesia recovery room was higher in tertiary hospital in 2023(P<0.05).Compared with secondary hospitals,the proportion of tertiary hospitals having anesthesiology intensive care units,anesthesia clinics,and ambulatory surgery centers/areas was higher in tertiary hospital in 2023(P<0.05).Compared with 2017,the configuration ratio of ultrasound diagnostic equipment,ECG defibrillator monitor,autologous blood salvage equipment,anesthesia depth monitor,difficult airway trolley,fiberoptic bronchoscope,video laryngoscope,and anesthesia information system was higher in secondary and tertiary hospitals in 2023(P<0.05).Conclusion By 2023,anesthesia medical service capacity of Guangxi province has been further improved,but relevant indicators have not yet reached the recommended standards of the national“Guidelines for Capacity-building for Medical Services of Anesthesiology”,and construction still needs to be further strengthened.