Anaesthesia provision, infrastructure and resources in the Heilongjiang Province, China: a cross-sectional observational study.

Anaesthesia provision, infrastructure and resources in the Heilongjiang Province, China: a cross-sectional observational study.
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中国黑龙江省的麻醉供应、基础设施和资源:一项横断面观察研究。

DOI:
10.1136/bmjopen-2021-051934
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发表时间:
2022-06-20
期刊:
影响因子:
2.9
通讯作者:
Han, Fei
Han, Fei
中科院分区:
医学3区
文献类型:
--
作者:
Zheng, Xiaoyu;Zhao, Jingshun;Zhang, Jian;Yao, Dandan;Jiang, Ge;Yang, Wanchao;Ma, Xuesong;Wang, Hui;Lu, Xiaodi;Zhu, Xidong;Chen, Meijun;Zhang, Mingyue;Zhang, Xi;Wang, Guonian;Han, Fei

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本研究的目的是探讨中国黑龙江省麻醉供应、基础设施和资源的现状。黑龙江省医院、麻醉医师、麻醉助理医师和麻醉护士的横断面观察研究。黑龙江省所有医院。医院、麻醉师(主治医师、副主任医师、主任医师)、麻醉助理医师(执业助理医师、住院医师、其他实习医师)、麻醉护士。使用标准描述性统计量(百分比和数量)总结数据。共调查医院1123所,其中麻醉科405所,占36.06%。有2406名麻醉师,175名助理麻醉师和409名麻醉护士。三级医院麻醉医师比例为56.60%,二级医院为40.15%,一级医院和未分级医院分别为3.25%。91.20%的公立医院和8.80%的私立医院有麻醉师。83.55%的综合医院和16.45%的专科医院有麻醉师。黑龙江省共有手术室2041间,康复室床位543张。每年人均麻醉病例数为326.86例。年龄≥46岁、36-45岁、25-35岁和<25岁的比例分别为24.03%、41.80%、33.91%和0.27%。住院医师和主治医师占60.87%,副主任医师和主任医师占39.13%。麻醉医师工作时间>12 h、10 h ≤时间≤12 h、8 h ≤时间<10 h和<8 h的比例分别为0.55%、22.04%、64.30%和13.11%。本研究首次表明,在黑龙江省,中国,麻醉医生的比例仍然不足。麻醉师的结构需要优化。
The aim of this study was to explore the current status of the anaesthesia provision, infrastructure and resources in the Heilongjiang Province, China. A cross-sectional observational study of hospitals, anaesthesiologists, assistant anaesthesiologists and anaesthetic nurses in the Heilongjiang Province. All hospitals in the Heilongjiang Province. The hospitals, anaesthesiologists (attending physicians, associate chief physicians and chief physicians), assistant anaesthesiologists (licenced assistant physicians, resident physicians and other trainees) and anaesthetic nurses. Standard descriptive statistics (percentages and numbers) were used to summarise the data. The investigation involved 1123 hospitals, 405 of these hospitals had anaesthesiology departments (36.06%). There were 2406 anaesthesiologists, 175 assistant anaesthesiologists and 409 anaesthetic nurses. The proportion of anaesthesiologists was 56.60% in tertiary hospitals, 40.15% in secondary hospitals and 3.25% in primary hospitals and ungraded hospitals, respectively. Anaesthesiologists were present in 91.20% of public hospitals and 8.80% of private hospitals. Anaesthesiologists were present in 83.55% general hospitals and 16.45% of specialised hospitals. The Heilongjiang Province has a total of 2041 operating rooms and 543 beds in recovery rooms. The number of anaesthesia cases per capita per year was 326.86. The percentages of anaesthesiologists’ age ≥46, 36–45, 25–35 and <25 are 24.03%, 41.80%, 33.91% and 0.27%, respectively. The proportions of resident physicians and attending physicians were 60.87%, and the proportions of associate chief physicians and chief physicians were 39.13%. The proportions of anaesthesiologists working >12 hours, 10 hours≤time≤12 hours, 8 hours≤time<10 hours and <8 hours were 0.55%, 22.04%, 64.30% and 13.11%, respectively. The present study demonstrated for the first time that the proportion of anaesthesiologists in the Heilongjiang Province, China, is still insufficient. The structure of anaesthesiologists needs to be optimised.
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