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目的:对江西省基层医疗机构2型糖尿病的诊疗服务能力进行基线调查,为在全省基层医疗机构合理配置卫生资源、防控糖尿病提供依据。方法:对江西省基层医疗卫生机构2型糖尿病的诊疗服务能力进行普查,并利用SPSS 21.0软件进行分析。结果:江西省每家基层医疗机构2012-2014年糖尿病年均门诊人次232.49,门诊患者进入基本诊疗路径20.51人次;2012-2014年均住院人次20.66,住院患者进入基本诊疗路径5.65人次。在内分泌专科进修3个月以上医师数为0.49人次。江西省基层医疗机构内科医师本科、大专、中专和中专以下的比例分别为21.94%、61.43%、15.54%、1.09%;高级、中级、初级及以下内科医师的比例分别为3.63%、33.46%与62.91%。平均每家基层医疗机构配备便携式血糖仪4.16台、全自动生化分析仪0.80台、导联同步心电图机1.16台、糖化血红蛋白检测仪0.26台。结论:基层医疗卫生机构糖尿病的诊疗服务能力偏低,原因在于基层医疗机构内分泌专科医生严重缺乏,参加进修培训的人次数明显低于全国水平,基层医务人员学历和职称层次较低,诊疗设备短缺。
Objective: To carry out a baseline survey on the ability of diagnosis and treatment of type 2 diabetes mellitus in grassroots-level medical institutions in Jiangxi Province to provide the basis for rational allocation of health resources and prevention and control of diabetes in primary medical institutions in the province. Methods: To investigate the ability of diagnosis and treatment of type 2 diabetes mellitus in primary health care institutions in Jiangxi Province and analyze the data using SPSS 21.0 software. Results: The annual average number of outpatients in each primary medical institution in 2012-2014 in Jiangxi Province was 232.49. Outpatients entered the basic medical treatment path 20.51. In 2012-2014, the average number of inpatients was 20.66, and the number of hospitalized patients entering the basic clinic was 5.65. In endocrine specialist training more than 3 months the number of doctors was 0.49 passengers. The proportion of undergraduate, tertiary, secondary and secondary physicians in primary medical institutions in Jiangxi Province was 21.94%, 61.43%, 15.54% and 1.09% respectively; the proportion of senior, intermediate, junior and below physicians was 3.63% and 33.46 respectively % And 62.91%. On average, each primary medical institution is equipped with 4.16 sets of portable blood glucose meters, 0.80 sets of automatic biochemical analyzers, 1.16 sets of lead synchronous electrocardiographs and 0.26 sets of glycated hemoglobin detectors. Conclusion: The ability of clinic service of diabetes in primary medical and health institutions is low due to the serious lack of endocrinology specialists in primary medical institutions. The number of people participating in advanced training is significantly lower than the national average. The level of education and professional title of primary medical staff is low. .