Rearch Report Of Medical Practicing Status Of Digestive Endoscopy Physicians In Chongqing

Objectives: to carry out the diagnosis and treatment of digestive endoscopy Chongqing regional medical institutions and medical personnel survey the situation. With large amounts of data, systems, norms, Chongqing digestive endoscopist and help practitioners analyze endoscopic diagnosis and treatment of digestive next census to collect, carry out the relevant information, combined with statistical analysis, diagnosis and treatment of digestive endoscopy-related issues such as professional training, diagnostic and therapeutic technologies as well as relationship-related complications, the doctor and the patient, such as analysis and evaluation of the system’s development, digestive endoscopist standardized training, certification and other related work of the foundation.Methods: The survey tabulation are unified standards, providing the Internet. First: digestive endoscopy physicians practicing in the Chongqing region were analyzed and thoroughly investigated, fill out the form, summary. Second: Census online verification entered into the computer, the data collected after using SPSS13.0 provide work to establish a database for statistical analysis. 1) around Chongqing digestive endoscopy practice, including the number and training, analysis of statistical data, hands-on training in the key areas. 2) a variety of diagnostic and treatment in Chongqing, about a hundred computing technology statistics, the average per year. 3) calculate a variety of complications, factor analysis and Logistic regression analysis to explore the complexity of the endoscopist is the relationship between the relevant diagnostic and technical training. Four digestive endoscopy diagnostic and therapeutic technologies 4) efforts to develop, analyze trends in new technologies for statistical analysis. Chongqing four levels of digestive endoscopy surgical hospital on the 24 th, accounting for more than 22%. Four digestive endoscopic surgery training base basic standards, hospital number 4, accounting for more than 27%. 5) digestive endoscopic diagnosis and treatment of medical units in the Chongqing region, the Investigation practitioners. Chongqing endoscopist how to deal with health care reform given the current doctor, practice conditions and management systems, industry associations, the implementation of the endoscope in medical practice, continuing education and training of the principal investigators of the basic qualitiesResults: The survey found that, in Chongqing have been carried out 137 endoscopic diagnosis and treatment of digestive medical institutions, according to the hierarchy, the third level hospitals(including: three hospital 18) 22, two hospitals, 90,25 130 points According to public hospitals, private hospitals in seven economy. A total of 506 in Chongqing, mostly young people, including 20-30 doctors(30.25%), doctors(38.61%), 30~4 0 years, 40~50, doctors(25.63%), digestive diagnostic endoscopy and treatment, and the total 50-year-old only 5.5%; the maximum number of Chongqing digestive endoscopists 506 generally well-educated, with a master’s degree, 33.57%, followed with a bachelor’s degree, 31.88%, 17.17 only specialist medical doctors %, education, high-quality talent doctorate(17.39%); the development stage 506 most cause digestive endoscopy with greater room for development, the Chongqing area. Surveyed medical staff began, the number of doctors, the more intermediate grade, junior titles accounted for 1% of 39.74, intermediate titles accounted for 32.78% of the total, 15.45 percent, was named deputy senior professional medical staff with senior technical titles only 6.4% In the following medical staff and 5.63 percent without a title; in a growing number of medical staff a set of numbers most of the service in less time digestive endoscopy doctor, less than five years of service, the majority(35.03%) with 5- 10 years of service accounted for 22.39 percent, followed by 30 years of serving officers, at least 30 years of 20-17.63%, only 5.65% of the personnel life. Currently based in the crowd digestive endoscopist findings, a large part is highly, not endoscopic diagnosis and treatment of very experienced staff.According to the survey, Chongqing 640600 2012 general endoscopy were 2.88% proportion of the total cases. Endoscopic therapy, to carry out the total number of 38400 cases cases, accounting for 2.36%. Conventional colonoscopy total 97,600 boxes of development, constitute 1.68%. Area to carry out the treatment of 12,800 cases, the total number of cases, accounting for 1.24%. Conventional ultrasonic mirror carries a total of 04,600 boxes of cases, accounting for 2.35%, in the mirror ultrasound, launched a total of 246 cases of cases, accounting for 2.29%. We conducted 245 cases of 0.93%, the composition ratio of colonoscopy. EPCP total 04400 box development, accounting for 2.27%. Mirror 226 cases of capsules, the proportion of cases was 0.47%, of the total number. Chongqing four levels of digestive endoscopy surgical hospital on the 24 th, accounting for more than 22%. Four digestive endoscopic surgery training base basic standards, hospital number 4, accounting for more than 27%.The survey said that from a professional and ethical standards, regardless of age 506 Chongqing digestive endoscopists, which is engaged in work, job type, type of hospital, have expressed the professional recognition of convergence, generally exhibit a high professional quality. When a reporter asked whether he was willing to participate in medical services suddenly high strength, select "Registration for the first time," 64,68,7. Only 99 percent of respondents chose "not to participate", which reflects the group’s digestive endoscopy professional positive attitude in Chongqing.According to the survey, digestive endoscopy who consider themselves more likely to trust or trust of patients 80.22%, 70.62 percent is more trust account and trusted 9.6%; only 3.84%, full of questions. This indicates that the majority of patients are still expected large medical personnel. But at the same time, the risk of assault and the survey is not optimistic, claiming violations of personal safety or personal rights and interests of patients and their families have been 280 people, accounting for 55.3% in the past year. 1-5 times the 206, accounting for 40.7%; 5-10 of 20 people, accounting for 1.98%; more than 10 of the 10 times, accounting for 1.98%, while in the overall evaluation of the doctor-patient relationship, beyond the harmonious proportions tension. Only 1.8 percent of people think that the doctor-patient relationship is very harmonious, 12.37% feel the strain, most other respondents evaluate doctor-patient relationship is a vague, not clearly defined, namely 44.88% of the strains accounted for more harmony 40.94 points.In the survey commensurate revenue and labor costs, the respondents only 16.61% of residents believe that income and labor to pay a significant proportion of respondents who believe that 30.85 percent of people with incomes below the labor remuneration ratio is slightly lower, 52% of respondents of their income is much lower than the reward. At the same time, doctors think their income than labor costs, followed by the less than(47%), half of high school technicians and nurses ratio. The survey also showed a higher title, a higher proportion of their incomes than the labor costs are much lower. Equal pay survey found that 56% of respondents believe that in order to obtain different wage phenomenon, but not serious, 18% of respondents want to get a different salary is very serious, while only 16% of respondents I think it is a different phenomenon has been rewarded.Since the implementation of new reforms began in 2009, although health, advocacy sector organizations, to facilitate learning, using a variety of ways, but the attitude is still in Chongqing, a part is not too concerned about the digestive endoscopists. Link in health care awareness survey, only 50% of respondents correctly answered the start time of the new reform. Therefore, the correct guidance of public opinion and a good social environment, recommended a new reform continued to deepen. In health promotion as an important task to further expand the breadth and depth. Whether they favor a new survey reform, 73% of respondents believe that 16.51 percent of respondents said they fully agreed, 10 percent of health care reform and against it.Conclusion: In practice, the study found that endoscopists Chongqing, Chongqing digestive endoscopy doctors think their work intensity, high pressure, mental and physical exhaustion. Income is still far below, and the lack of a sense of fairness; their professional recognition is not high, and there are prospects for career development crisis; not satisfied with the current practice environment and patient relationship, improve the doctor-patient relationship pessimism; for enterprises Chongqing part of digestive endoscopist reform; higher levels of satisfaction with the overall image of their excellent work, hard work and sacrifice; fiscal reform government health care spending is not enough; "difficult" phenomenon has been no fundamental change, is not too concerned about, no less, the majority of health care reform, we should pay more attention to improve the relevant laws and provisions of the new balance of reforms, doctors patients(nurses) implementation and the rights and interests of both sides. According to Chongqing endoscopy, 506 workers, physical and mental health, occupational environment, moral consciousness, the doctor-patient relationship, social status, rights protection, multi-faceted, comprehensive investigation of the basic situation of health consciousness of the study and master the basic situation investigation body and mental health, occupational environment, moral consciousness, the doctor-patient relationship, social status, rights protection, health, and in-depth analysis of the current situation and further want to understand the situation, analyze the problem and the reasons exist and the corresponding countermeasures and suggestions to make conclusions. It suggested that the media should play an active role in the guidance, improve the legal system, reduce the pressure on digestive endoscopy, improve the working environment. As a tool to assess the scale of our digestive endoscopy professional response, which is the reality of this article, digestive endoscopy complete professional, to improve the basis of their ability to work.