Thực trạng cơ sở vật chất và năng lực chẩn đoán, điều trị tắc động mạch phổi cấp tại các bệnh viện trên địa bàn tỉnh Thanh Hóa

Abstract

The study aimed to describe the current status of medical equipements and diagnostic–therapeutic resources for treatment of acute pulmonary embolism and the self reported competence of healthcare workers at hospitals in Thanh Hoa province. A cross sectional survey was conducted from September to November 2025 in 21 provincial and primary level hospitals, using a structured questionnaire on human resources, equipment, laboratory tests, medications, clinical pathways, and a self assessment form administered to 223 healthcare workers. The results showed that all hospitals were equipped with electrocardiography, ultrasound, X ray and bedside monitors, but only 57% had computed tomography scanners, 33% had arterial blood gas analyzers and 14% could perform D dimer testing; thrombolytic agents were available in only 14.3% of hospitals, mainly at the provincial level, while many mountainous facilities lacked anticoagulants and advanced resuscitation equipment. Self rated competence in diagnosis, risk stratification and thrombolytic therapy among physicians at district/mountainous hospitals was significantly lower than that of provincial physicians. The study reveals substantial disparities in pulmonary embolism management capacity across levels of care, highlighting the need to prioritize resource strengthening and standardized training.