中国湖南省慢性阻塞性肺疾病相关卫生资源配置
Chronic obstructive pulmonary diseases related health resources allocation in hunan province of china.
作者信息
Bei Chengli, Hu Anmei, Liu Huayun, Chen Ping, Jia Xiujie, Zhou Guisheng, Cai Shan
机构信息
Dept. of Respiratory Medicine, the Second Xiangya Hospital of Central South University, Changsha 410011, China.
出版信息
Iran J Public Health. 2013 Jun 1;42(6):543-51. eCollection 2013.
BACKGROUND
Information about Chronic obstructive pulmonary diseases (COPD)-related health resources allocation in China is very limited. The aim of the study was to explore the distribution of COPD-related health resources allocation among different levels public hospitals (PHs) in Hunan Province of central south China.
METHODS
We randomly collected data from 57 Public Hospitals (PHs) at 3 different levels in Hunan province as well as 893 pulmonary physicians (PPs) who worked there in 2009. Questionnaires based on the recommendations of COPD guideline were designed, including availability of spirometers, inhaled agents for COPD and COPD-related health education for local residents, as well as PPs' educational levels.
RESULTS
Spirometers equipped ratio in 3(rd) level PHs was much higher than 1(st), 2(nd) PHs. The disparity varied vastly form 0% to 100%. The inhaled agents equipped ratio was 5.56%, 70.85% and 100% respectively for the 1(st), 2(nd) and 3(rd) levels PHs. No 1(st) level PHs launched COPD-related healthcare education for local residents, only 10 of 24 for the 2(nd) level PHs and 10 of 15 for the 3(rd) level PHs. PPs of high educational levels concentrate in 3(rd) levels PHs, however, PPs working in 1(st) levels PHs and 2(nd) levels PHs were mainly low and median educational levels PPs' knowledge of COPD of 3(rd) levels PHs was much better than of 1(st) levels PHs and 2(nd) levels PHs.
CONCLUSION
The extreme imbalance and disparity existed in COPD-related health resources allocation at three levels PHs in central south China. Inequity and insufficient in COPD-related health resources in 1(st) and 2(nd) levels PHs should be improved.
背景
中国慢性阻塞性肺疾病（COPD）相关卫生资源分配的信息非常有限。本研究旨在探讨中国中部湖南省不同级别公立医院（PHs）中COPD相关卫生资源分配情况。
方法
我们随机收集了湖南省57家不同级别公立医院的数据以及2009年在这些医院工作的893名肺科医生（PPs）的数据。根据COPD指南的建议设计了问卷，内容包括肺活量计的配备情况、COPD吸入剂的配备情况、针对当地居民的COPD相关健康教育情况以及肺科医生的教育水平。
结果
三级公立医院肺活量计配备率远高于一级和二级公立医院。差距从0%到100%差异极大。吸入剂配备率一级、二级和三级公立医院分别为5.56%、70.85%和100%。没有一级公立医院开展针对当地居民的COPD相关健康教育，二级公立医院24家中只有10家开展，三级公立医院15家中有10家开展。高学历肺科医生集中在三级公立医院，然而，在一级和二级公立医院工作的肺科医生主要是低学历和中等学历。三级公立医院肺科医生对COPD的了解远优于一级和二级公立医院。
结论
中国中部地区三级公立医院COPD相关卫生资源分配存在极端不平衡和差异。一级和二级公立医院COPD相关卫生资源的不公平和不足应得到改善。
Zotero 插件