贵州省卫生人力资源配置及服务利用分析
|
摘要
[目的]分析贵州省卫生资源配置及服务利用情况,为卫生行政部门提供科学的决策依据。[方法]使用Excel对数据进行统计分析,运用相关分析法和对比分析法等方法对各市(州)卫生资源及服务利用情况进行评价。[结果]每千人口执业(助理)医师数毕节市最少,仅有1. 25人,贵阳市最高,为3. 37人;每千人口注册护士数贵阳市最高为3. 90人,安顺市最低仅有1. 82人;各市(州)医护比总体在0. 8 (1∶1. 25)以上。诊疗人次总体年均增长率超过了60%;病床使用率最高的遵义市为82. 51%,最低的毕节市仅为53. 22%;平均住院日最高的贵阳市为9. 90天,最低的黔西南州为6. 40天。[结论]卫生资源配置总体不足、结构不合理,需进一步加强医师队伍建设;不同地区服务效率差距明显,需统筹区域协调发展;加强双向转诊,提升医疗技术水平。
Objective Analyze health resources allocation and service utilization so as to provide scientific decision-making basis for health administrative departments. Methods It used Excel to analyze the data,evaluated the status of health resources allocation and service utilization in cities and prefectures by correlation analysis,comparative analysis and other methods. Results There were 1. 25 practice( assistant) physicians per thousand population in Bijie city at least,Guiyang City was the highest with 3. 37 practice( assistant) physicians. There were 3. 90 registered nurses per thousand populations in Guiyang which was highest,the lowest was 1. 82 registered nurses in Anshun City. Totality of doctors and nurses ratio was over 0. 8( 1∶ 1. 25). The overall average annual growth rate of medical treatment was more than 60%. The highest utilization rate of beds in Zunyi City was 82. 51%,the lowest in Bijie City was only 53. 22%. The highest average length of stay in Guiyang City was 9. 90 days,the lowest in Qianxinnan prefecture was 6. 40 days. Conclusions The overall allocation of health resources was insufficient,the structure was unreasonable. It needs to further strengthen the construction of physician team. There was obvious gap of service efficiency in different area,it need to coordinate regional development. Strengthen two-way referral and improve medical technology level.
Objective Analyze health resources allocation and service utilization so as to provide scientific decision-making basis for health administrative departments. Methods It used Excel to analyze the data,evaluated the status of health resources allocation and service utilization in cities and prefectures by correlation analysis,comparative analysis and other methods. Results There were 1. 25 practice( assistant) physicians per thousand population in Bijie city at least,Guiyang City was the highest with 3. 37 practice( assistant) physicians. There were 3. 90 registered nurses per thousand populations in Guiyang which was highest,the lowest was 1. 82 registered nurses in Anshun City. Totality of doctors and nurses ratio was over 0. 8( 1∶ 1. 25). The overall average annual growth rate of medical treatment was more than 60%. The highest utilization rate of beds in Zunyi City was 82. 51%,the lowest in Bijie City was only 53. 22%. The highest average length of stay in Guiyang City was 9. 90 days,the lowest in Qianxinnan prefecture was 6. 40 days. Conclusions The overall allocation of health resources was insufficient,the structure was unreasonable. It needs to further strengthen the construction of physician team. There was obvious gap of service efficiency in different area,it need to coordinate regional development. Strengthen two-way referral and improve medical technology level.
引文
[1]陈敏辉,许文静.经济发展区域不平衡引致卫生资源配置非均等化的实证分析[J].中国卫生统计,2018,35(1):55-57.
[2]虎翼,关曼潞,李林贵,等. 2008-2011年宁夏公立医院医疗服务利用分析[J].宁夏医科大学学报,2014,36(1):62-64.
[3]周明华,冯毅.贵州省农村乡镇卫生院卫生资源配置及服务利用分析[J].现代预防医学,2017,4(15):2777-2780.
[4]李艺钊,吴维民,蒋帅. 2004-2013年广西卫生资源配置与利用分析[J].中国卫生资源,2016,19(4):302-305.
[5]臧芝红.基于泰尔指数的我国卫生资源配置区域公平性研究[J].卫生经济研究,2017,(5):32-35.
[6]林金雄,龚静,申树群.“十二五”期间广东省医疗卫生资源配置的公平性研究[J].现代预防医学,2018,45(6):1048-1051.
[7]杨霞,刘林,李青艳.等.云南省2005-2014年卫生资源状况分析[J].卫生软科学,2016,30(3):152-156.
[8]麦尔当·艾力木,海丽且姆·阿卜杜巴日,陆晨,等. 2008年至2013年新疆卫生机构医疗服务利用现状研究[J].中华医院管理杂志,2015,31(1):37-38.
[9]柴源,张玉琼,张列强,等. 2010-2015年贵州省卫生资源配置公平性趋势分析[J].现代预防医学,2017,44(17):3150-5153.
[10]咸本松,傅海虹,张楠,等.“十二五”期间内蒙古自治区卫生资源配置现状及公平性变化趋势研究[J].中国卫生资源,2018,21(1):32-36.
[11]宋宿杭,孟庆跃.我国新医改前后卫生资源配置公平性分析[J].中国卫生政策研究,2017,10(9):46-50.
[12]曹云源,闫梦青,牛媛娜,等.河南省居民卫生服务利用公平性评价[J].中国公共卫生,2017,33(6):894-900.
[13]彭莉,湛大顺,张翔.我国中东西部卫生资源配置效率比较分析[J].医学与社会,2018,31(10):51-53.
[14]张黎,殷程程,王岚,等.遵义市三级公立医院资产及服务利用情况分析[J].中国医院,2015,19(9):34-35.
[15]唐龙妹,高霞,闫丽娜,等.河北省医疗卫生资源配置地理公平性分析[J].中国卫生经济,2017,36(5):48-51.
[2]虎翼,关曼潞,李林贵,等. 2008-2011年宁夏公立医院医疗服务利用分析[J].宁夏医科大学学报,2014,36(1):62-64.
[3]周明华,冯毅.贵州省农村乡镇卫生院卫生资源配置及服务利用分析[J].现代预防医学,2017,4(15):2777-2780.
[4]李艺钊,吴维民,蒋帅. 2004-2013年广西卫生资源配置与利用分析[J].中国卫生资源,2016,19(4):302-305.
[5]臧芝红.基于泰尔指数的我国卫生资源配置区域公平性研究[J].卫生经济研究,2017,(5):32-35.
[6]林金雄,龚静,申树群.“十二五”期间广东省医疗卫生资源配置的公平性研究[J].现代预防医学,2018,45(6):1048-1051.
[7]杨霞,刘林,李青艳.等.云南省2005-2014年卫生资源状况分析[J].卫生软科学,2016,30(3):152-156.
[8]麦尔当·艾力木,海丽且姆·阿卜杜巴日,陆晨,等. 2008年至2013年新疆卫生机构医疗服务利用现状研究[J].中华医院管理杂志,2015,31(1):37-38.
[9]柴源,张玉琼,张列强,等. 2010-2015年贵州省卫生资源配置公平性趋势分析[J].现代预防医学,2017,44(17):3150-5153.
[10]咸本松,傅海虹,张楠,等.“十二五”期间内蒙古自治区卫生资源配置现状及公平性变化趋势研究[J].中国卫生资源,2018,21(1):32-36.
[11]宋宿杭,孟庆跃.我国新医改前后卫生资源配置公平性分析[J].中国卫生政策研究,2017,10(9):46-50.
[12]曹云源,闫梦青,牛媛娜,等.河南省居民卫生服务利用公平性评价[J].中国公共卫生,2017,33(6):894-900.
[13]彭莉,湛大顺,张翔.我国中东西部卫生资源配置效率比较分析[J].医学与社会,2018,31(10):51-53.
[14]张黎,殷程程,王岚,等.遵义市三级公立医院资产及服务利用情况分析[J].中国医院,2015,19(9):34-35.
[15]唐龙妹,高霞,闫丽娜,等.河北省医疗卫生资源配置地理公平性分析[J].中国卫生经济,2017,36(5):48-51.