Research On The Status Quo And Countermeasures Of Pain Department Construction In Beijing Area

ObjectiveBased on the background of the current rising prevalence of chronic pain diseases and the nation gradually emphasizes on the development of pain disciplines.To analyze the overall construction of departments of pain in Beijing,the construction of professional talent teams,the development of diagnostic and therapeutic technologies,and the utilization efficiency of bed resources are discussed.At the same time,to discuss the problems existing in the development process and combine with the actual situation,the targeted policy recommendations are mentioned.Methods.This study is based on the Beijing Center for the Control and Improvement of Pain Treatment Quality,Conducted investigations into the construction of pain departments in 56 medical institutions at Grade 2 or abovewhich conducted pain clinics in Beijing,Statistical methods were used to analyze the construction of pain departments?pain physician team and the promotion of diagnosis and treatment techniques at all levels of medical institutions,Comprehensive evaluation methods were used to analyze The use of bed resources in medical institutions at the level of medical institutions to further explore the status quo and existing problems of pain departments at all levels of medical institutions in Beijing,and put forward suggestions for countermeasures.ResultsIn terms of department building,the proportion of pain clinics conducted by medical institutions at Grade 2 or above in Beijing is 24%,among them,the medical institutions that establish independent pain departments are 32.14%,and the medical institutions that develop pain wards are 30.36%.The pain department without independent establishment belongs to the department of anesthesiology(78.95%),orthopedics(5.26%),oncology(2.63%),neurological surgery(2.63%)and other departments.In terms of talent team construction,the total number of pain physicians is less,male doctors are more painful than females(1.5:1),middle-aged and young doctors aged 30-50 account more(69.9 1),and doctors with master's degree account for relatively large(46.48%).Academic qualifications followed(42.25%).Physicians with senior and above-level titles accounted for relatively large(42.61%),followed by middle-ranking physicians(35.56%).Pain physicians had a professional background of anesthesia accounting for(40.14%)and anesthesia physicians account less(9.15%).There is no significant difference in gender distribution of pain doctors in second-and third-tier medical institutions(p>0.05).There is significant difference in age distribution,education distribution,job title distribution,professional background distribution(p<0.05).In the area of diagnosis and treatment technology,the level of neurological blockade and minimally invasive interventional treatment in tertiary medical institutions is higher than that of secondary medical institutions.Besides,the differences in the distribution of pain diagnosis and treatment in secondary and tertiary medical institutions are relatively large,and there is no significant difference in the types of diagnosis and treatment technology between the independent and non-independent departments of the second-and third-tier medical institutions.There is a significant difference in the number of diagnosis and treatment techniques.The proportion of independent departments performing relatively complex techniques is higher than that of non-independent departments.In terms of utilization of bed resources,The rate of turnover of beds in tertiary medical institutions was higher than that of secondary medical institutions;the average length of stay in pain departments of third-level medical institutions was lower than the hospital management standards,and only 36.36%of all pain departments in medical institutions were lower than the national average hospital stay The average level and the average level of Beijing;average hospitalization days of pain departments in secondary medical institutions are all lower than the hospital management standards;the utilization rates of beds in the pain departments of the second and third-tier medical institutions have more obvious polarization,and the tertiary medical institutions are more prominent.Comprehensive evaluation results:The evaluation results of the utilization of beds in the second and third level medical institutions' pain departments are two tertiary medical machines,and one secondary medical institution has high utilization efficiency.The case analysis shows that the construction and development model of the three pain management departments can provide reference for the region or other regions construct the development of pain departments in different situations.ConclusionsOn the whole,the development of pain departments in Beijing is relatively slow and there is ample room for development.Medical institutions at all levels are unbalanced and conditions are not universally available.The total number of pain physicians is insufficient,and the technical level is not homogeneous.Professional background is varied with a lack of young reserve talents.Talent team construction needs to be strengthened;the popularity of diagnosis and treatment technology needs to be improved,and further standardization is needed,and the utilization of medical resources also needs to be strengthened.Suggestions for this:we need to give full play to the leading role of the government,formulate and improve supporting policies for the construction of pain disciplines with strengthening the overall construction of pain departments and improving the pain medicine education system and the pain education physician continuing education system.We need to popularize and popularize pain diagnosis and treatment techniques,standardize diagnosis and treatment behaviors and guarantee medical quality and safety with strengthening the management of clinical departments and improving the efficiency of medical use.We need to strengthen the propaganda work of the pain department,highlight the technical advantages of diagnosis and treatment with eliminating inter-discipline cognitive differences and increasing the awareness of the masses for pain diagnosis and treatment in order to guide patients to symptomatic treatment and expand the pain department Influence.