Collaborative Initiative Centre for Diagnosis and Treatment of Infectious Diseases, State Key Laboratory for Diagnosis & Treatment of Infectious Diseases, the First Affiliated Hospital to School of Medicine of Zhejiang University, Hangzhou, China.
Collaborative Initiative Centre for Diagnosis and Treatment of Infectious Diseases, State Key Laboratory for Diagnosis & Treatment of Infectious Diseases, the First Affiliated Hospital to School of Medicine of Zhejiang University, Hangzhou, China.
Clin Microbiol Infect. 2018 Jan;24(1):82.e5-82.e10. doi: 10.1016/j.cmi.2017.05.008. Epub 2017 May 12.
The evolution of infectious diseases (IDs) poses a challenge to many ID physicians, who must either adapt or transition to another career track. This national cross-sectional study assessed the current working conditions and problems faced by ID professionals in China.
A national questionnaire survey of ID physicians and their facilities throughout China was performed in May-June 2016 using stratified random sampling.
A total of 156/300 (52.0%) ID departments and 1071/2250 (47.6%) physicians from 21 provinces participated in the survey. Overall, 151 (96.2%) of 156 hospitals had ID wards and 141 (90.4%) provided outpatient consultations. The average number of ID physicians per department was 10.32 ± 6.57. The ratio of patient beds to doctors was 5: 1, and the ratio of patient beds to nurses was 5: 1.85. Training in IDs was available in 126 (80.8%), and ID research was performed in 108 (69.2%), of the 156 departments. The main service provided by ID physicians was the management of legally notifiable communicable diseases. The annual income of 942 (88.0%) of the 1071 physicians was below $15 000. Of these physicians, 870 (81.2%) felt high or very high pressure in their work, whereas only 514 (48.0%) were satisfied or very satisfied with their jobs.
The limited medical service provided by ID physicians is poorly aligned with current healthcare demands. Moreover, the heavy workloads, high stress, poor compensation and limited career prospects for ID physicians in China impede the continued development of specialists and places them in a career dilemma. ID physicians should work to develop and diversify the field and to enhance their capacities by learning new technologies and collaborating with other medical disciplines.
传染病（IDs）的演变对许多传染病医生构成了挑战，他们要么必须适应变化，要么转向另一个职业轨道。本全国性横断面研究评估了中国传染病专业人员的当前工作条件和面临的问题。
2016 年 5 月至 6 月，采用分层随机抽样方法，对中国各地的传染病医生及其医疗机构进行了全国性问卷调查。
共有 21 个省的 156/300（52.0%）个传染病科和 1071/2250（47.6%）名医生参与了调查。总体而言，156 家医院中有 151 家（96.2%）设有传染病病房，141 家（90.4%）提供门诊咨询。每个科室的传染病医生平均人数为 10.32±6.57 人。病床与医生的比例为 5:1，病床与护士的比例为 5:1.85。156 个科室中有 126 个（80.8%）提供传染病培训，108 个（69.2%）开展传染病研究。传染病医生的主要服务是管理法定传染病。1071 名医生中，有 942 名（88.0%）的年收入低于 15000 美元。在这些医生中，有 870 名（81.2%）感到工作压力大或非常大，而只有 514 名（48.0%）对工作感到满意或非常满意。
传染病医生提供的有限医疗服务与当前的医疗保健需求不匹配。此外，中国传染病医生的工作量大、压力大、薪酬低、职业前景有限，这阻碍了专科医生的持续发展，使他们陷入职业困境。传染病医生应努力发展和多样化该领域，并通过学习新技术和与其他医学学科合作来增强他们的能力。
