Investigation And Analysis On The Construction Status And Medical Service Capacity Of Neonatal Wards In Medical Institutions In Gansu Province

Objective: Understand the current situation of medical facilities,equipment,personnel allocation,business and technology development and medical service capacity of neonatal wards in medical institutions in Gansu Province,find out the problems existing in the current situation of neonatal ward construction,reasonably analyze and put forward corresponding measures in combination with the actual situation of the region,To provide a theoretical basis for further promoting the standardized management and development of neonatal discipline in Gansu Province.Method: Through literature review and expert consultation,the questionnaire on the construction status and service capacity of neonatal wards in medical institutions in Gansu Province was formulated,and the questionnaire was distributed to 91 medical institutions that met the criteria of the survey object after inclusion and exclusion criteria,so as to understand the facility construction and equipment allocation,human resources Technical support and medical service capacity;Use Excel（2013）to establish the database,and use the statistical software spss25 0 carry out statistical analysis on the survey data,and the statistical results are descriptive statistical analysis by frequency,mean,median and percentage.Results: 1.Neonatal ward form : The neonatal wards of 87 medical institutions are mainly neonatal wards,with 42（48.3%）,27（31.0%）neonatal wards and only 18（20.7%）neonatal departments.2.Main diseases and causes of death of newborns: The tertiary medical institutions are neonatal jaundice,neonatal pneumonia and premature infants in turn,and the secondary medical institutions are neonatal jaundice,neonatal asphyxia and neonatal pneumonia in turn.The top three causes of neonatal death in tertiary medical institutions were premature infants,birth defects and neonatal sepsis.The secondary medical institutions are neonatal asphyxia,premature infants and neonatal sepsis.3.Human resource allocation: The professional titles of doctors are mainly primary and intermediate.The composition ratio of middle and senior professional titles of doctors meets the standard of grade I neonatal ward（≥20%）in the guidelines for the hierarchical construction and management of Chinese neonatal ward,12 meet the standard of grade II A or B（≥ 30%）and59 meet the standard of grade III（≥ 40%）.The professional titles of nurses are mainly primary professional titles,and the medical education is mainly undergraduate and junior college,Master’s degree or above is rare.The medical bed ratio of five medical institutions meets the requirements of more than 1:0.2 in the guide,and the nursing bed ratio is 1:0.5.4.Equipment configuration of neonatal ward:The highest allocation rate is the neonatal incubator（95.4% ～ 100%）,radiation rescue table（93.8% ～ 100%）,resuscitation air bag（90.8% ～ 100%）,laryngoscope（90.8% ～ 100%）,micro blood glucose meter（90.8% ～ 100%）.The allocation rate of 7 equipment such as defibrillator,transfer vehicle and ophthalmoscope in medical institutions at all levels is less than 50%.5.Business technology development:The development rate of cardiopulmonary resuscitation,intravenous indwelling needle and blue light treatment technology in medical institutions at all levels is more than 80%（81.5% ～ 100%）.57 medical institutions carry out neonatal transport,mainly one-way transport,and less intrauterine transport and two-way transport.6.Operation technology of medical staff in neonatal ward:Less than 50%（0% ～ 7.7%）of doctors in secondary medical institutions independently completed five technologies such as deep vein / artery catheterization and hemodynamic monitoring.The maintenance and use of neonatal incubator,neonatal venipuncture and indwelling needle can be completed independently by nursing staff in neonatal wards of medical institutions at all levels,with a rate of 84.6% ～ 100.7.Prevention and control of neonatal nosocomial infection:87 medical institutions have met the requirements in standardizing the wearing of masks,gloves and setting up hand basins.They have independently set up isolation rooms,baby washing rooms and visiting channels.The allocation rate of secondary medical institutions is significantly lower than that of tertiary medical institutions.Conclusion: The construction and medical service capacity of neonatal wards of medical institutions in Gansu Province need to be improved.The medical service capacity of some medical institutions does not meet the corresponding level standards of the guidelines for the construction and management of neonatal wards in China.There are also uneven levels of construction status and medical service capacity among neonatal wards at the same level.1.This survey found that the overall coverage of the construction of neonatal wards in our province is high,but the neonatal professional system in some medical institutions is imperfect and there are few independent subjects..2.The allocation of medical and health resources and medical service capacity of neonatal specialty are unbalanced,and the facilities construction and equipment allocation of neonatal ward are insufficient.There is a shortage of medical human resources,and the proportion of neonatal medical specialty qualification is low.The higher the level of medical institutions,the more perfect the development of technical projects.