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目的对北京二级医院神经内科的医疗服务进行现况调查。方法对北京市66家二级医院进行定性与定量结合的普查。结果收治的病种以脑血管病为主(84%)。城区二级与三级医院的比例为58:60;而远郊区县为48:6。远郊区县中,能提供尿激酶和组织纤溶酶原激活剂(t-PA)溶栓治疗的医院仅占64.7%和26.5%。结论担负脑血管病救治重任的远郊二级医院尚不能满足需求。应加强培训、建立远程医疗模式。
Objective To investigate the status quo of medical services in neurology department of Beijing secondary hospital. Methods The survey of 66 secondary hospitals in Beijing was combined qualitatively and quantitatively. Results Cerebrovascular disease was the predominant disease (84%). The ratio of secondary and tertiary hospitals in urban areas is 58:60, while that in remote rural areas is 48:6. In the outskirts of the county, hospitals that provide thrombolysis with urokinase and tissue plasminogen activator (t-PA) accounted for only 64.7% and 26.5%. Conclusion The secondary hospitals in the suburbs, which are responsible for the treatment of cerebrovascular disease, are still unable to meet the demand. Should strengthen training and establish a telemedicine model.