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目的:对2007年上海市公立口腔医疗单位进行普查,分析了解2007年上海市公立医疗单位口腔卫生人数、结构、层次、分布以及设备状况和口腔门诊工作状况,探讨存在的问题,为进一步研究上海的口腔卫生人力资源提供参考,同时也为上海市达到口腔卫生人力资源的合理配置和有效利用提供参考。方法:采用问卷调查方式,对上海市所有公立口腔医疗单位进行普查。调查方式采用直接访问和电话访问。调查内容包括上海市公立医院口腔卫生人力资源的数量、结构、层次、分布、设备状况、门诊工作状况以及目前上海市公立口腔医疗单位紧缺口腔医师专业等。结果:上海市公立口腔医疗单位共有364家,三级医院26家,二级医院99家,一级医院239家;口腔医生2046人,护士634人,技工281人,椅位2010台;口腔医生的结构以初级职称、中青年、大学本科学历、口腔综合专业为主,分别占47.85%、77.17%、42.23%和68.04%,护士的结构以初级职称、中专及以下人员学历组成,占66.88%和68.45%,医生、护士、技工比为7∶2∶1;上海市公立口腔医疗单位和口腔卫生人力资源主要分布在中心城区(占41.48%),68.23%的口腔医生,79.81%的护士和82.21%的技工集中在此区域;2007年门诊量为514.65万人次,其中26.95%选择三级医院就诊;15.79%的单位认为门诊量过多,56.23%认为恰好;27.20%的单位(主要是中心城区)认为本单位缺口腔科医生。其中,66.67%的单位认为缺口腔综合医生。结论:上海市公立口腔卫生人力资源总量不少,护理人员相对不足,结构层次不合理,主要集中在中心城区和三级医疗机构,同时患者也主要选择中心城区和三级医疗机构就诊。
OBJECTIVE: To conduct a general survey of Shanghai public dental units in 2007 and analyze the status, structure, level, distribution, equipment status and oral clinic status of oral health units in Shanghai public medical units in 2007, and to explore the existing problems. In order to further study Shanghai Of oral health human resources to provide a reference, but also to Shanghai to achieve the rational allocation of oral health human resources and provide effective reference. Methods: By means of questionnaire survey, all public dental units in Shanghai were surveyed. Survey method using direct access and telephone interview. The survey included the number, structure, level, distribution, equipment status, outpatient work status, and the current shortage of oral dentists in Shanghai Public Dental Units in Shanghai Public Hospitals. Results: There were 364 public oral medical units in Shanghai, 26 tertiary hospitals, 99 secondary hospitals and 239 primary hospitals; 2,046 stomatologists, 634 nurses, 281 technicians and chair positions of 2010; and stomatologists The structure of junior college graduates is 47.85%, 77.17%, 42.23% and 68.04%, respectively. The structure of nurses is composed of junior professional titles, secondary technical secondary school and below, accounting for 66.88% % And 68.45%, respectively. The ratio of doctors, nurses and technicians was 7: 2: 1. Shanghai public dental units and oral health human resources were mainly distributed in central urban areas (41.48%), 68.23% of stomatologists and 79.81% of nurses And 82.21% of technicians were concentrated in this area. In 2007, the outpatient volume was 5,146,500, of which 26.95% chose tertiary hospitals; 15.79% considered outpatients too much, 56.23% thought exactly; 27.20% Central City) that the unit dentist. Among them, 66.67% of the units think that the dentist general practitioner. Conclusion: The total amount of public oral health human resources in Shanghai is quite large. The nursing staffs are relatively inadequate and the structural levels are unreasonable. They are mainly concentrated in the central urban area and the tertiary medical institutions. At the same time, the patients also choose the central city and the tertiary medical institutions for treatment.