福建省公立医疗卫生机构口腔服务资源的现状调查

Investigation of the oral health resources in public medical and health services in Fujian province

目的了解福建省公立医疗卫生服务机构中的口腔服务机构与人力资源的配置情况,分析存在的主要问题并为政府决策提供科学依据。方法福建省97家疾控中心利用中国疾控中心流行病学动态数据采集平台,进入口腔卫生工作能力调查系统在线录入填写《疾控系统口腔卫生工作能力现状调查问卷》,以网络直报的方式对辖区内的口腔卫生资源与工作开展情况进行普查。采用SPSS 18.0统计软件进行统计分析,计数资料用率(%)表示,采用χ2检验,P<0.05表示差异有统计学意义。结果福建省辖区内能提供口腔卫生服务的县区级医疗机构(包括口腔专科医院)156家,有口腔科的综合医院128家。一家公立的县级医院口腔科平均服务人数为23.96万人,福州、厦门和泉州低于全省平均水平。福建省口腔医师数为1352名,每10万人口对应口腔医师数为3.6名。福建省疾控系统中,从事口腔卫生方面的工作人员仅为0.29%(13/4 420),且几乎无口腔卫生工作经费,仅有4家疾控中心设立有专业的牙防机构,开展的工作为龋齿填充,乳牙涂氟,口腔检查及宣传教育。结论福建省公立的口腔卫生服务机构分布不均衡,口腔医师短缺。疾控系统目前较少开展口腔预防保健工作,需要在政策及资源保障方面予以支持。

Objective To investigate the oral health resources in public medical and health services in Fujian province, and to analyze the main problems and to provide scienfitic advice for government dicisionmaking. Methods There were 97 Center for Disease Control and Prevention(CDC) in Fujian answering the questionnaire through the Epidemiology Dynamic Data Collection(EDDC) platform from national CDC. The investigation content included local oral health resources and work situations. The data was analyzed by software SPSS18.0. Results There were 156 above-county-level hospitals(including stomatological hospitals) and 128 general hospitals with stomatological department to offer oral health service in Fujian province. One above-county-level public hospital should be provided services for 239 600 people on average; however, Fuzhou, Xiamen and Quanzhou city were lower than the average level of Fujian province. The number of dentist were 1 352 in total, which equited to only 3.6 dentists for100,000 people on average. The public health officers working on oral health prevention was only0.29%(13/4 420) in Fujian CDC system. Moreover, there were few working funds on oral health.Four CDCs had dental disease control and prevention insitutions, and their main working contents were dental caries filling, baby teeth with fluoride, oral examination and oral health education. Conclusions Public oral health resources in Fujian province were unevenly distributed. At the same time, there was a large gap between the dentists existing and the needs. The CDC system is still lack of preventive job on oral health. More policies and support resources need to be provided.