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庄润森, 韩铁光, 吴丽, 陈凯燕, 贾伟祺, 张媛. 深圳市公立医院戒烟门诊状况调查[J]. 中国公共卫生, 2017, 33(5): 720-724. DOI: 10.11847/zgggws2017-33-05-09
引用本文: 庄润森, 韩铁光, 吴丽, 陈凯燕, 贾伟祺, 张媛. 深圳市公立医院戒烟门诊状况调查[J]. 中国公共卫生, 2017, 33(5): 720-724. DOI: 10.11847/zgggws2017-33-05-09
ZHUANG Run-sen, HAN Tie-guang, WU Li.et al, . Establishment and operation of smoking cessation clinics in public hospitals in Shenzhen city[J]. Chinese Journal of Public Health, 2017, 33(5): 720-724. DOI: 10.11847/zgggws2017-33-05-09
Citation: ZHUANG Run-sen, HAN Tie-guang, WU Li.et al, . Establishment and operation of smoking cessation clinics in public hospitals in Shenzhen city[J]. Chinese Journal of Public Health, 2017, 33(5): 720-724. DOI: 10.11847/zgggws2017-33-05-09

深圳市公立医院戒烟门诊状况调查

Establishment and operation of smoking cessation clinics in public hospitals in Shenzhen city

  • 摘要: 目的 了解广东省深圳市各医疗卫生机构戒烟门诊设置及运作情况。方法 采用普查方法,利用统一自制调查问卷对深圳市全部59家公立医院进行调查,有效问卷56份。结果 深圳市公立医院戒烟门诊设有率为78.57%,未开设的原因主要是医护人员不足(45.45%)。戒烟门诊挂靠在呼吸内科居多(55.81%);戒烟门诊开设时间主要是全天(58.93%);仅有 1家三级医院对戒烟门诊医务人员进行补贴;戒烟门诊每周平均服务时间为22.3 h。戒烟门诊人员配置以医生为主,主要为兼职人员(89.29%),有23家医院没有配备护理人员(45.10%)。一氧化碳检测仪(6.89%)和体重计(51.16%)保有率偏低;宣传教育材料保有率以宣传折页(76.74%)最高,器官模型和影像资料最低(11.63%)。过去1个月每个门诊平均接诊68人,其中二级医院最多,为97人;服务对象主要是门诊病人(81.82%)和医院工作人员(70.45%);服务类型面谈辅导(100%)较高,而电话辅导(34.09%)较低;仅有9.09%的戒烟门诊能够提供药物治疗。共有12家医院(占27.27%)收费,其中只有1家医院可完全由医保支付。结论 戒烟门诊运行存在配置不全和政策支持不足等诸多困难,政府部门应出台相应的戒烟服务优惠政策,增加医务人员戒烟服务补贴,将戒烟药物纳入医保支付,开展综合性的戒烟干预方能有效提高戒烟门诊就诊率和戒烟成功率。

     

    Abstract: Objective To examine the situation of establishment and operation of smoking cessation clinic (SCC) sponsored by various medical and health institutions in Shenzhen city.Methods A survey with a self-designed questionnaire about SCC was conducted among all 59 public hospitals in Shenzhen municipality during June 2015.Results Of the 56 hospitals responding to the survey,78.57% have established SCC and for the hospitals without SCC,45.45% reported the lack of medical personnel as the main reason for the non-establishment of SCC.Of the SCCs established,55.81% were affiliated to department of respiratory medicine and 58.93% opened all workdays.Only one tertiary hospital has subsidization for medical staff in the SCC.The average service time of the SCCs was 22.3 hours per week.The majority of staffs in the SCCs were doctors and 89.29% of the staff worked part-time in the SCCs.For all hospitals with SCCs,23 (45.10%) did not assigned nurses working in the SCC.For all the SCCs,only 51.15% and 6.89% were equipped with body weight scale and carbon monoxide detector; 76.74% provided leaflets but 11.63% provided human organ models and video materials for tobacco control education.The average number of attendees of the SCCs during the latest one month was 68 and the number was relatively higher (97) for the SCCs in secondary hospitals.The majority of the SCC attendees were people visiting outpatient clinic (81.82%) and the hospitals' staff (70.45%).All the SCCs provided face-to-face counseling,but about one third (34.09%) of the SCCs provided telephone counseling and only 9.09% gave medicine treatment to the attendees.Among the SCCs,12 (27.27%) charged fee for the service and the service fee charged could be fully paid by medical insurance only in one of the 12 SCCs.Conclusion There were several obstacles for the operation of smoking cessation clinics in Shenzhen city,including insufficient facilities and the lack of policy support.The study results suggest that relevant measures should be implemented by governmental administration to promote effective smoking cessation service of medical institutions.

     

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