吉林省县级综合医院卫生服务现状分析  

Current situation of health service in general hospitals at county level in Jilin province

作　　者：张萍[1] 李文涛[1] 于宝柱[2] 袁华[1] 代郑重[3] 安力彬[1] 

机构地区：[1]吉林大学护理学院,吉林长春130021 [2]吉林省疾病预防控制中心 [3]中日友好医院

出　　处：《中国公共卫生》2014年第2期254-256,共3页Chinese Journal of Public Health

基　　金：吉林省科技厅项目(20110681)

摘　　要：目的了解吉林省县级综合医院卫生服务现状,分析存在的问题及影响因素,并提出政策建议。方法查阅吉林省卫生统计年报表,结合实地调查,对数据进行描述性分析及定量对比分析。结果吉林省县级综合医院2011年总建筑面积、业务用房面积、平均实际开放床位、万元以上仪器设备分别较2010年增长6.65%、6.79%、0.77%和8.41%,有37.93%的医院床均建筑面积未达标准;2011年医护比为1:0.98,较2010的1:0.83有所提高,进修半年以上人员比例为6.05%,较2010年的9.20%有所下降;2011年建立信息系统的医院比例为6.45%,与2010年相同;2011年总诊疗人数、人均诊疗、门诊、住院花费分别较2010年增长6.24%、12.44%、8.84%和4.89%,有78.16%的医院病床使用率未达标准。结论吉林省县级综合医院在基础设施建设、医护人员配置、医疗服务等方面有了很大程度改善,但还存在卫生资源利用不足、人员进修培训率低、信息化建设不理想等问题。Objective To examine the status of health service in general hospitals at county level and its influencing factors, and to provide information on decision-making to health administrative departments. Methods Descriptive analysis and quantitative comparative analysis were adopted in this study. Results Compared with 2010, the total acreage of buildings, health service space, the number of inpatient bed, and medical equipments （ten thousand RMB yuan or more per piece）were increased by 6. 65% ,6. 79% ,0. 77% ,and 8.41% from 2011 to 2013 ,respectively,for general hospitals at county level in Jilin province. There were 37.93 % of the hospitals with the occupied area per bed lower than that of the national standard in China. The ratio of doctor and nurse in 201 l was 1：0. 98 ,higher than the ratio in 2010（ 1：0. 83 ）. The proportion of the staff getting training programs in 2011 was 6. 05 %, lower than that in 2010 （9. 20% ）. The propor- tion of hospitals running health information system reached 6. 45 % in 2011. In 2011, the total number of patients, per ca- pita cost of treatment, the cost of outpatient and inpatient increased by 6. 24 %, 12. 44 %, 8.84 %, and 4. 89 %, respective- ly,compared with those in 2010. The bed utilization rate was lower than that of the national standard in China for 78. 16% of the hospitals in the province. Conclusion Infrastructure, staff allocation and medical service of county gener- al hospitals are improved in Jilin province, but the utilization of health resources is inadequate, with low rates for staff training and information technology application.

关 键 词：县级综合医院 卫生服务 分析 

分 类 号：R197.3[医药卫生—卫生事业管理]