新医改背景下公立医院区域卫生规划探析  

Analysis of the Regional Health Planning of Public Hospitals Under the Background of the New Health Care Reform

作　　者：何克春[1] 袁红梅[2] 杨燕[2] 魏清明[2] 李明[2] HE kechun;YUAN Hongmei;YANG Yan;WEI Qingming;LIMing(People＇s Hospital of China Three Gorges University,Health Economics Institute of China Three Gorges University,Yichang 443000,Chin)

机构地区：[1]三峡大学人民医院//三峡大学卫生经济研究所,湖北宜昌443000 [2]宜昌市第一人民医院,湖北宜昌443000

出　　处：《现代医院》2018年第5期625-629,共5页Modern Hospitals

基　　金：湖北省卫计委指定性项目(WJ2017D0011);湖北省教育厅人文社科重点课题(17D022)

摘　　要：目的分析和研究现阶段我国公立医院的数量和规模,探讨新医改背景下我国公立医院的区域卫生规划,为我国公立医院进一步的区域卫生规划提供科学依据。方法主要采用文献分析法,收集和分析与新医改下公立医院区域卫生规划有关的各种文献,从中选择并进行整理和分析。并对2011年中国卫生统计年鉴上的有关数据进行分析。结果公立医院不合理的区域卫生规划和布局设计,不仅严重影响了医疗卫生资源的利用效率,也加剧了广大人民的"看病难、看病贵"问题。结论在新医改背景下,需要对公立医院的定义、定位和功能进行重新审视。要适度减少公立医院的数量和规模,合理确定和调整各级公立医院的数量,对城乡的公立医院进行合理布局,以解决公立医院区域卫生规划不合理的问题。Objective To analyze and research the number and size of public hospitals of our country at the present stage,and explore the regional health planning of public hospitals under the background of China＇s new medical reform,provide the scientific basis for our further layout of regional health planning for public hospitals of our country. Methods Mainly use the method of the document analysis,by collecting and analyzing the literature related to the regional health planning of public hospitals under the new health reform. And relevant data on China Health Statistics Yearbook 2011 were analyzed. Results The irrational regional health planning and layout design of public hospitals not only seriously affect the efficiency of health care resources,but also exacerbate the difficulty and high cost of people getting medical service. Conclusion Under the new health care reform,the definition of public hospitals and the positioning and functionality of public hospitals need to be re-examined. The following three aspects will solve the problem of regional health planning of public hospitals. First,to moderately reduce the number and size of public hospitals; second,to determine and adjust the number of public hospitals at all levels; Third,to reasonably lay out urban and rural public hospital.

关 键 词：新医改 公立医院 区域卫生规划 

分 类 号：R197.3[医药卫生—卫生事业管理] R19-0[医药卫生—公共卫生与预防医学]