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[挪威妇产科部门的人员配备与应急服务]

[Staffing and emergency service in Norwegian obstetrics and gynecology departments].

作者信息

Salvesen Helga B, Trovik Jone, Børdahl Per E

机构信息

Kvinneklinikken, Haukeland Universitetssykehus, 5021 Bergen.

出版信息

Tidsskr Nor Laegeforen. 2004 Nov 4;124(21):2780-2.

PMID:15534675
Abstract

BACKGROUND

We have made a survey of activities, skills, staffing and emergency services in Norwegian units for obstetrics and gynaecology.

MATERIAL AND METHODS

A questionnaire was sent to all 43 units in February 2003.

RESULTS

All units replied; 42 reported to have delivery service with emergency staffing. The reported annual number of births varied from 100 to 5600 (median 825, mean 1258). There was a large difference in the number of doctors on call in relation to annual number of births, with the larger units having a higher number of births per doctor on call. 60% of deliveries took place in units with a specialist always available. The numbers of doctors in each unit varied from 1 to 48 (median 8, mean 11). The outpatient activity was higher in local hospitals. Physicians with doctorates were mostly to be found in university hospitals.

INTERPRETATION

The survey demonstrates a large variation in emergency services, distribution of posts and academic skills. This may reflect different functions and geographic conditions, though there are also large differences among comparable institutions.

摘要

背景

我们对挪威妇产科单位的活动、技能、人员配备和急救服务进行了一项调查。

材料与方法

2003年2月向所有43个单位发送了一份调查问卷。

结果

所有单位均作了回复;42个单位报告有配备应急人员的分娩服务。报告的年分娩数从100例到5600例不等(中位数825例,平均数1258例)。与年分娩数相比,随叫随到医生的数量存在很大差异,规模较大的单位每名随叫随到医生的分娩数更多。60%的分娩在始终有专科医生在场的单位进行。各单位医生数量从1名到48名不等(中位数8名,平均数11名)。当地医院的门诊活动较多。拥有博士学位的医生大多在大学医院。

解读

该调查显示急救服务、岗位分布和学术技能存在很大差异。这可能反映了不同的功能和地理条件,尽管在类似机构之间也存在很大差异。

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