CAJ | 학술논문

目的了解上海市神经外科、胸外科、心脏大血管外科3个专科执业情况,探讨提高依法执业水平的措施和思路.方法采取现场监督检查和调研方式对68家二、三级医院的神经外科、胸外科、心脏大血管外科的执业状况进行调查.结果 68家医院的3个专科设置床位数3288张,配备执业医师1142人,执业助理医师19人,护士1983人;其中10家医院的专科医疗用房面积低于标准;3家医院人员使用不规范;总体不规范病历占8%;总体不规范处方占15%.结论上海市二、三级医院的神经外科、胸外科、心脏大血管外科3个专科的依法执业情况总体良好,但在医疗用房、人员使用、病历处方等方面存在缺陷,需进一步加强管理和监督.
목적 료해상해시신경외과、흉외과、심장대혈관외과3개전과집업정황,탐토제고의법집업수평적조시화사로.방법 채취현장감독검사화조연방식대68가이、삼급의원적신경외과、흉외과、심장대혈관외과적집업상황진행조사.결과 68가의원적3개전과설치상위수3288장,배비집업의사1142인,집업조리의사19인,호사1983인;기중10가의원적전과의료용방면적저우표준;3가의원인원사용불규범;총체불규범병력점8%;총체불규범처방점15%.결론 상해시이、삼급의원적신경외과、흉외과、심장대혈관외과3개전과적의법집업정황총체량호,단재의료용방、인원사용、병력처방등방면존재결함,수진일보가강관리화감독.
Objective To probe into the medical practicing of neurosurgery, thoracic surgery, and cardiac and great vessels surgery in Shanghai, discovering measures and suggestions for improvement Methods Such methods as onsite inspection and questionnaires were called into play to study the practice of neurosurgery, thoracic surgery, and cardiac and great vessels surgery in 68 secondary and tertiary hospitals. Results Such three disciplines in the 68 hospitals have in total 3288 beds, 1142 medical practitioners, 19 assistant medical practitioners, and 1983 nurses. In 10 of the 68 hospitals, the medical space for these disciplines is non-standard; In 3 hospitals, personnel use is non-standard in general; 8% of the medical records are incompliant in generals 15% of the prescriptions are incompliant in general. Conclusion Medical practicing of neurosurgery, thoracic surgery, and cardiac and great vessels surgery in Shanghai is found to be legally compliant in general. However, there exist defects in medical space, personnel use, as well as medical records and prescriptions. In this regard, enhanced management and inspection are recommended.