医院临床流行病学机构服务需求调查

目的 了解某医院中各类人员对临床流行病学技术服务的需求和临床流行病机构提供技术服务的能力。方法采用工作总结，档案资料整理、工作记录资料统计分析等方法收集临床研究技术服务信息，分析总结该医院2008年各类人员对临床流行病学技术服务的需求和临床流行病学机构提供技术服务的现状。结果该服务机构在编职工3人，研究生3人。2008年共完成咨询272人次，咨询者中医生最多（147人次，54．0％）研究生次之（90人次，33．1％），其他人员咨询较少（35人次，12．9％）。咨询内容包括统计方法（106人次，39．0％），课题设计（96人次，35．3％），论文撰写（36人次，13．2％）和其他内容（24人次，8．8％）。具有高级技术职称的咨询服务者提供研究设计技术服务（71／139，51．1％）多于助理研究员（22／151，19．1％）和研究生（3／18，16．7％），差异有统计学意义（P〈0．01）。助理研究员（66／151，57．4％）与研究生（10／18，55．6％）提供统计方法技术服务的比例高于高级技术职称的咨询服务者（30／139，21．6％），差异有统计学意义（P〈0．01）。结论医院中的医生和研究生需要临床研究各阶段的临床流行病学技术服务。在医院设立临床流行病学机构有必要性和可行性。技术服务不收费的“暗补”政策有利于提高医院内临床流行病学技术服务的可及性和服务对象的满意程度。

Need analysis of clinical research consultation for clinical epidemiology in a general hospital

Objective To understand the needs for and supply of clinical research consultation at the clinical epidemiological unit (CEU) in a general hospital. Methods Data were collected from work records of 2008 of CEU and were analysed. Results There were three faculties and three graduate students in the CEU, who altogether provided 272 consultations in 2008. 147 of the consultants were doctors (54.0%), and 90 were graduate students (33.1%). With regard to the content of consultation, 106 (39. 0%) were for bio-statistical methods, 96 (35. 3%) for project design, 36(13.2%) for paper writing and 24 (8.8%) for others. The professor of the CEU provided more consultation on project design (71/139, 51.1%) than assistant professors (22/151, 19.1%) and graduate students (3/18, 16.7%) (P＜0.01). The assistant professors (66/151, 57.4%) and graduate students (10/18, 55.6%) provided consultation on bio-statistical methods more than the professor (30/139, 21.6%) (P＜0. 01). Conclusion Doctors and graduate students in the general hospital need clinical research consultation service from the CEU. It is necessary and possible to establish a CEU in general hospital to meet the needs of clinical epidemiological consultation. The "free consulting" policy is effective in improving the accessibility and satisfaction of the consulting service.