季诚杰,宋沈超,刘岚
JI Chengjie,SONG Shenchao,LIU Lan

• 1:贵州医科大学
• 2:贵州省卫生和计划生育委员会

摘要(Abstract)：

目的:分析贵州省基层医疗卫生机构发展现状,并探讨存在的问题。方法:以2014-2017年《中国统计年鉴》《贵州统计年鉴》及2017年贵州省卫生和计划生育委员会基层医疗卫生机构调研报告数据为分析对象,收集2013-2016年贵州省基层医疗卫生机构数、床位数、总人员数及卫生技术人员数,统计各年度的诊疗人次、出院人数、病床使用率和平均住院日等数据;分析2013-2016年贵州省基层医疗卫生机构在机构组成情况、数量情况、床位情况、人力资源情况和医疗服务情况的变化。结果:乡镇卫生院中政府办占100%,社区卫生服务中心(站)中政府办占6135%,村卫生室中公有制占5722%;基层医疗卫生机构床位数呈现逐年上升趋势,主要为卫生院床位数呈现逐年递增;基层医疗卫生机构卫生技术人员数与占总人员数的比例在逐年上升;由于村卫生室的卫生技术人员占总人数的比例较低,所以基层卫生医疗机构卫生技术人员占总人数的比例仅为50%左右;2016年卫生院卫生人员中本科及以上学历的占1164%,初级及以下职称的占9413%,医护比为1∶079;入院人数和床位使用率呈现逐年下降趋势,平均住院日呈现逐年上升趋势。结论:贵州省基层医疗卫生机构基础设施和人力资源得到一定发展,但人力资源配置仍有不足。
Objective: To analyze the development of primary medical and health institutions in Guizhou and discuss the existing problems.Methods: Taking the data of the survey report of the primary medical and health institutions of the Guizhou Health and Family Planning Commission in 2014-2017 as the object of analysis, the data of the number of primary medical and health institutions, the number of beds, the total number of personnel and the number of health technicians in Guizhou in 2013-2016 were collected, and the data of the number of medical visits, the number of discharges,the utilization rate of hospital beds and the average hospitalization days were counted in each year. The changes in institutional composition, number, bedspace, human resources and medical services of primary medical and health institutions in Guizhou from 2013 to 2016 were analyzed.Results:Government offices accounted for 100% of township health centers, 61. 35% of community health service centers(stations) and 57.22% of village clinics. The number of beds in primary medical and health institutions was increasing year by year, and mainly the number of beds in hospitals was increasing year by year. The proportion of health technicians and total personnel in primary medical and health institutions was increasing year by year. Because the proportion of health technicians in village clinics was low, the proportion of health technicians in primary health care institutions was only about 50%. In 2016, 11.64% of health workers had bachelor's degree or above,94.13% of primary and below titles, and 1∶0.79. The number of hospital admissions and the utilization rate of bed were decreasing year by year, and the average hospitalization days were increasing year by year.Conclusion: The infrastructure and human resources of primary medical and health institutions in Guizhou have been developed to a certain extent, but the allocation of human resources is still unreasonable.

关键词(KeyWords)： 卫生系统机构;卫生设施;卫生政策;基层医疗卫生机构;对策建议
health system institutions;health facilities;health policy;primary health institutions;countermeasures and recommendations

Abstract:

Keywords:

基金项目(Foundation): 贵州省科技厅基金项目[黔科合LG字(2012)020]

作者(Author): 季诚杰,宋沈超,刘岚
JI Chengjie,SONG Shenchao,LIU Lan

DOI: 10.19367/j.cnki.1000-2707.2020.02.011

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