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目的:对2007年上海市非公立口腔医疗单位进行普查,分析了解2007年上海市非公立医疗单位口腔卫生人力的数量、结构、层次、分布、设备状况及口腔门诊工作情况,探讨存在的问题,为进一步研究全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,对上海市所有非公立口腔医疗服务单位进行普查。调查方式采用直接访问和电话访问。调查内容包括上海市非公立口腔卫生人力资源的数量、结构、层次、分布、设备状况、门诊工作情况以及目前上海市非公立口腔医疗单位紧缺的口腔医师专业等。结果:上海市非公立口腔医疗单位共有488家,医生1172人,护士848人,技工79人,椅位1377台;口腔医生以中级职称、中青年、大学本科、口腔综合为主,分别占44.88%、86.9%、51.28%和89.59%,护士以初级职称、中专及以下人员组成,占81.84%和75.47%,医生、护士、技工比为15∶11∶1;上海市非公立口腔医疗单位和口腔卫生人力资源集中分布在中心城区(占54.1%),57.85%的医生、61.57%的护士和79.75%的技工集中在中心城区;2007年门诊量为97.665万人次,其中61.42%选择中心城区就诊,38.97%的单位认为门诊量较少或太少,57.82%认为恰好;20.04%的单位认为本单位缺口腔科医生,其中,68.09%的单位认为缺口腔综合医生。结论:上海市非公立口腔卫生人力资源主要集中在中心城区和浦东新区,结构层次合理,患者也主要选择中心城区的医疗机构就诊,有相当比例的单位认为门诊量少,口腔综合医生的需求量相对最大。
OBJECTIVE: To conduct a general survey of non-public dental units in Shanghai in 2007 and analyze the quantity, structure, level, distribution, equipment status and oral clinic work of oral health workers in non-public medical units in Shanghai in 2007 and to explore the existing problems, It provides a reference for further research on oral health human resources in Shanghai and also provides a reference for the rational allocation and effective utilization of oral health human resources in Shanghai. Methods: By means of questionnaire survey, all non-public dental service units in Shanghai were surveyed. Survey method using direct access and telephone interview. The survey included the number, structure, level, distribution, equipment status and outpatient work of non-public oral health workers in Shanghai and the current shortage of dentists in Shanghai non-public dental units. Results: There were 488 non-public dental units in Shanghai, with 1,172 doctors, 848 nurses, 79 mechanics and 1377 chairs. The stomatologists were mainly middle-grade, middle-aged and young, undergraduate and oral comprehensive, accounting for 44.88 %, 86.9%, 51.28% and 89.59% respectively. The nurses occupy 81.84% and 75.47% of them with primary titles, secondary technical secondary schools and the following, and the ratio of doctors, nurses and technicians is 15: 11: 1. Shanghai non-public dental units (54.1%), 57.85% of doctors, 61.57% of nurses and 79.75% of technicians concentrated in the central urban area. The number of outpatients in 2007 was 967,650, of which 61.42% selected central urban areas Visits, 38.97% of the units considered the outpatient amount is less or too little, 57.82% think it is exactly; 20.04% of the units that the unit dentist, of which 68.09% of the units that lack of oral general practitioners. Conclusion: Shanghai non-public oral health human resources are mainly concentrated in the central city and Pudong New Area, the structure level is reasonable, the patients also choose to visit the medical institutions in the central urban area. A considerable proportion of the units consider the outpatient amount as less than that of the general practitioner Relative maximum.