成都市新津县公益性医疗卫生服务体系改革绩效评估系列之五:新津县2009～2010年基层医疗服务绩效评估  

Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅴ. Evaluation on Primary Healthcare Performance in Xinjin County from 2009 to 2010

作　　者：王莉[1] 李萃萃[1] 李幼平[1] 师成虎[1] 杨宗霞[1] 王应强[1] 沈建通[1] 李筱[1] 

机构地区：[1]四川大学华西医院中国循证医学中心,成都610041

出　　处：《中国循证医学杂志》2014年第3期249-254,共6页Chinese Journal of Evidence-based Medicine

基　　金：成都市卫生局资助项目"新津县公益性医疗卫生服务体系改革绩效评估"(编号:H1106077)

摘　　要：目的调查2009～2010年成都市新津县基本医疗服务情况，为成都市公益性改革提供基本医疗服务的基线数据及政策建议。方法收集2009～2010年新津县门／急诊人次，出／人院人次，服务绩效和利润情况。采用MicrosoftExcel2003和SPSS13．0软件进行分析。结果①门／急诊，出／人院人次按县级、乡院、社区的顺序依次减少，2009—2010年，门／急诊人次除社区中心2010年较2009年递减31．0％和25．3％外，县级和乡院2010年较2009年递增，出／人院人次数均2010年较2009年递增。②病床使用率2010年较2009年递增，其中县级医院2009年较全国水平低8％，2010年较全国高33．5％；乡院均高于全国水平；社区中心均低于全国。③平均住院日2010年较2009年减少，县级医院和社区中心均低于全国水平。④次均门诊费用总体2010年较2009年降低且低于全国水平。⑤出院患者费用药品费、治疗费、检查费2010年较2009年增长，这3种费用占8种费用的构成比超过86％。⑥2009—2010年，新津县全年收支保持平衡并略有结余，其中收入2010年较2009年增长39．3％，支出增长37．7％。结论新津县基层医疗机构病床使用率、平均住院日、次均门诊费用等指标均优于全国同类数据，总体卫生资源较好，但配置不均，优化卫生资源需坚持效益与效率相统一。Objective To investigate the essential healthcare system performance in Xinjin county of Chengdu city from 2009 to 2010, so as to provide baseline data for further study. Methods The general information of the essential healthcare, such as the numbers of out and in-patients, service and profits were collected and then analyzed using the software of Microsoft Excel 2003 and SPSS 13.0. Results a） The results showed that the numbers of out and in-patients were in the rank of the county, township and community hospital. The numbers of out and emergency patients has been decreased 31.0% and 25.3% in the community hospital from 2009 to 2010, while patients in the county and township hospital has been increased. The numbers of in-patients has been increased by year; b） hospital bed occupancy has been increased by year, and the hospital bed occupancy of county hospitals was 8% lower than national level in 2009, 33.5% higher in 2010, the hospital bed occupancy of township hospitals from 2009 to 2010 was higher than national level, the ones of community hospital was lower than national level; c） there is an annual decreasing tendency for average days for hospitalization in county and community hospital, which were higher than national level; d） it was lower than national average rate; e） the inpatient fee per time was lower than national average rate; f） in the components of the in-patients expense, drug expense, operation expense and diagnose expense were constituted more than 86% in all eight costs; and g） the receipts and expenditure of Xin]in hospital throughout the year increased by years, the income and expenses showed 39.3% and 37.7%. Conclusion The hospital bed occupancy, average hospitalization days and the inpatient fee per time in Xinjin county of Chengdu city during 2009-2010, were higher than national level. The overall health performance of hospitals in Xinjin county was satisfied. However, there was significant difference between the best and the worst. In order to distribute health resources,

关 键 词：成都市新津县 公益性医疗卫生服务体系 基本医疗服务 绩效评估 

分 类 号：R197.1[医药卫生—卫生事业管理]