2022年度国家康复医疗服务与质量安全报告OA北大核心CSTPCD

Objective To analyze the medical services,quality and safety of rehabilitation medicine departments in general hospitals and rehabilitation hospitals in 2021 in perspectives of structure,segment and outcome quality. Methods We analyzed the data from National Clinical Improvement System of the National Health Commission,involv-ing 9 328 hospitals,including all secondary and above general hospitals and rehabilitation hospitals,as well as traditional Chinese Medicine hospitals and integrated traditional Chinese and Western medicine hospitals in 2021.A total of 2 513 sampling hospitals that equipped with rehabilitation wards were included. Results Among the 9 328 general hospitals surveyed this year,only 2 713 had rehabilitation wards.In general hospitals,the average number of physicians per bed in 56.77%hospitals,the average number of rehabilitation therapists per bed in 80.36%hospitals,and the average number of nurses per bed in 53.53%hospitals did not meet the national requirements,and the average number of rehabilitation medical personnel per bed in rehabilitation medicine de-partments in different regions was significantly different.The rates of early rehabilitation intervention were 13.45%,20.67%and 29.74%respectively in department of orthopedics,department of neurology and intensive care units in general hospitals.The average improvement rate of activities of daily living of discharged patients was 77.87%in rehabilitation department of general hospitals,and 69.01%in rehabilitation hospitals. Conclusion In 2021,professional medical services,quality and safety of rehabilitation medicine in China have improved steadily.However,most general hospitals in China still have not configured the rehabilitation wards,and there are problems such as the total number of rehabilitation medical personnel in the country does not meet the re-quirements,early rehabilitation intervention is significantly insufficient,and the implementation of important evaluation and therapies is deficient.The effect of rehabilitation still needs to improve.It is necessary to continu-ously promote capacity building of the medical rehabilitation to improve the quality of medical rehabilitation ser-vices.