• 1. Department of Clinical Nutrition, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
  • 2. Department of Clinical Nutrition, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530000, P. R. China;
  • 3. Department of Clinical Nutrition, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830000, P. R. China;
  • 4. Clinical Nutrition Center, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolia 010000, P. R. China;
  • 5. Department of Clinical Nutrition, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, P. R. China;
  • 6. Department of Clinical Nutrition, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650000, P. R. China;
  • 7. Department of Clinical Nutrition, the Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou 550000, P. R. China;
  • 8. Public Health School, Shaanxi University of Chinese Medicine, Xi’an, Shaanxi 712046, P. R. China;
  • 9. Department of General Surgery, Lanzhou University Second Hospital, Lanzhou, Gansu 730030, P. R. China;
  • 10. Department of Clinical Nutrition, Qinghai Provincial People’s Hospital, Xining, Qinghai 810007, P. R. China;
  • 11. Clinical Nutrition Department, Health Management Center, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia 750000, P. R. China;
HU Wen, Email: wendy_nutrition@163.com
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Objective To understand the development of clinical nutrition departments in western China, analyze the main problems and factors restricting its development, and provide a basis for promoting the construction and development of clinical nutrition departments in western China and formulating clinical nutrition management standards.Methods Questionnaires were used to investigate the development of clinical nutrition services in some hospitals in 11 provinces/municipalities/autonomous regions in western China (except Tibet) in March 2019. Results A total of 230 hospitals participated in the survey. Most clinical nutrition departments set up outpatient clinics (76.1%), with an average annual number of outpatients of 884; most of them carried out nutrition inspection visit/follow-up work (86.5%), and the average number of inspection visit/follow-ups was 3 876. Most hospitals had incomplete hardware and software facilities in the clinical nutrition departments. The charging items for diagnosis and treatment were complicated, and the charging standards were uneven. There were still 47.0% of the clinical nutrition departments of hospitals that did not offer diagnosis and treatment charging items. The surveyed hospitals believed that the talent team was the number one factor restricting the development of the clinical nutrition department, and regular skills training was the number one project that urgently needed the help of the Clinical Nutrition Discipline Alliance of West China Hospital of Sichuan University.Conclusion In the future, the western region should increase the investment in hardware and software facilities, strive for policy support for maintaining department operations and formulate unified standards to regulate the development of disciplines.

Citation: LI Xuemei, SHI Lei, ZHANG Yongsheng, LI Li, GUO Ruifang, HU Huaidong, WENG Min, YANG Dagang, XIN Bao, MAO Jie, XIONG Rui, ZHAO Qian, HU Wen. Investigation and analysis of service capability of clinical nutrition departments in western China. West China Medical Journal, 2021, 36(9): 1239-1243. doi: 10.7507/1002-0179.201911066 Copy

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