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目的调查四川省双流县镇级医疗单位特色专科建设现状,为探索小康型乡镇卫生院特色专科建设原则、思路及标准等提供参考。方法采用自行设计的特色专科调查问卷全面调查该县24家镇级医疗单位(3家中心型卫生院、3家社区卫生服务中心及18家一般型卫生院)特色专科建设情况。使用Epidate 3.1录入数据,采用SPSS 17.0进行描述性统计及分层分析。结果该县24家镇级医疗单位中有15家(62.5%)共设立了21个特色专科;其中中医骨科最多,共9家占42.9%,其次为中医康复理疗科,共6家占28.6%。结论镇级医疗单位特色专科的创建应根据当地疾病诊治需求和医院自身条件合理规划建设,以专科建设推动特色诊疗服务参与市场竞争。中医骨科和中医康复理疗科群众基础较好,值得作为特色专科创建并推广。
Objective To investigate the status quo of the construction of characteristic specialties of township medical units in Shuangliu County, Sichuan Province, and to provide reference for exploring the construction principles, ideas and standards of characteristic specialties for well-to-do township hospitals. Methods Using the self-designed questionnaire with special characteristics, we investigated the construction of specialties of 24 county-level medical units (3 center-type hospitals, 3 community health centers and 18 general hospitals) in this county. Data was entered using Epidate 3.1 and descriptive statistics and stratification analysis was performed using SPSS 17.0. Results Twenty-one of the 24 township-level medical units in the county set up 21 specialties. Among them, orthopedics accounted for 42.9% of all orthopedics in China, followed by TCM physiotherapy and rehabilitation departments, with a total of 6 accounting for 28.6% . Conclusion The creation of specialties of township medical units should be reasonably planned and constructed according to the needs of diagnosis and treatment of local diseases and the conditions of hospitals themselves, and promote the development of specialized medical services to participate in the market competition with specialties. Traditional Chinese medicine orthopedics and traditional Chinese medicine rehabilitation physicians better quality foundation, it is worth to create and promote specialties as characteristics.