Abstract:
OBJECTIVE To explore the establishment of healthcare-associated infection(HAI) management departments, funding allocation and staffing status in secondary and tertiary medical institutions in Sichuan province.
METHODS Based on the investigation of the prevalence of HAIs in Sichuan Province, a unified questionnaire was designed by provincial HAI control personnel and sent to the medical institutions online for investigation.The methods and forms of survey and the collection and reporting of data were consistent with the investigation of prevalence.
RESULTS A total of 117 hospitals were investigated, including 30 tertiary hospitals and 87 secondary hospitals.There were still a few hospitals that linked HAI management functions to medical departments or nursing departments, 8.75% of them were secondary hospitals or lower scale hospitals.The funds allocated for HAI management at all levels of hospitals were relatively low, with a median of 3.33 yuan per bed, the interquartile range was 40.87 yuan, but the extra hospitalization cost caused by HAIs was relatively high, with a median of 3,723.43 yuan and an interquartile range of 11,523.24 yuan; the structure of the part-time and full-time staff of the HAI management departments was mainly based on nurses(78.24%), the unbalanced state of the staffing structure was more serious in secondary or lower scale hospitals; the number of staffing was insufficient in the tertiary hospitals, while the number of staffing was adequate in the secondary or lower scale hospitals, but the training was inadequate.
CONCLUSION Although the secondary and tertiary medical institutions of Sichuan Province have their own characteristics in the allocation of HAI management resources, they tend to be consistent in general, and there are more or less insufficient allocations.It was necessary for the health administrative departments to specifically regulate the development model of HAI management from the top level design.