2003-2018年上海市综合医院发展情况及趋势分析  

Analysis on basic situation and trend of hospitals and comprehensive hospitals in Shanghai from 2003 to 2018 based on Yearbook

作　　者：张鞠华 李小攀 李明 徐春巍 查海东 闵利时 曹虹 陆瑞峰 孙晓明[1] ZHANG Juhua;LI Xiaopan;LI Ming;XU Chunwei;ZHA Haidong;MIN Lishi;CAO Hong;LU Ruifeng;SUN Xiaoming(Fudan University,No.220,Handan Road,Yangpu District,Shanghai,200433,PRC)

机构地区：[1]复旦大学,上海200433 [2]上海市浦东卫生发展研究院,上海200129 [3]上海健康医学院附属周浦医院,上海201318 [4]上海市浦东新区疾病预防控制中心/复旦大学浦东预防医学研究院,上海200136

出　　处：《中国医院》2021年第7期34-36,共3页Chinese Hospitals

基　　金：上海市卫生健康委员会卫生行业临床研究专项(20204Y0166);上海健康医学院种子基金项目(SFP-18-22-17-002);上海市浦东新区科技发展基金博士后资助项目(PDKJ-202008);上海市浦东新区卫生健康委员会重点专科(PWZzK2017-08)。

摘　　要：目的:了解2003-2018年上海市综合医院基本情况,分析其发展趋势,为当地深化医改提供参考。方法:根据上海市统计年鉴数据,对2003-2018年上海市全部医院及综合医院数量、床位及人员数、病床使用情况、诊疗人次和入院人数等进行分析,根据构成比、年度变化百分比、平均年度变化百分比等指标,采用Joinpoint回归模型对综合医院在医院中的各指标进行趋势分析。结果:2003-2018年上海市全部医院平均数为364所,综合医院为173所,综合医院占比47.52%。综合医院床位数、从业人员数、卫生技术人员、执业(助理)医师、注册护士分别占全部医院的57.61%、67.44%、68.28%、68.40%和69.38%。平均开放床位数、诊疗人次、门急诊诊疗人次、入院人数分别占57.11%、68.67%、68.77%和71.86%。趋势分析发现,在全部医院中,2003-2018年综合医院机构数占比、从业人员数占比、卫生技术人员占比、执业(助理)医师占比、全部医院病床周转次数、综合医院病床周转次数、床位占比、诊疗人次占比、门急诊诊疗人次占比、全部医院每百诊次入院人数、综合医院每百诊次入院人数均呈显著上升趋势;全部医院平均住院日和综合医院平均住院日均呈显著下降趋势。结论:上海市医院病床、人力等资源逐渐向综合医院集中,综合医院规模逐渐扩大,周转加快。综合医院改革仍是医改的重中之重。Objective:To master the basic situation of hospitals and comprehensive hospitals in Shanghai from 2003 to 2018,and analyze the development trend of general hospitals,so as to provide reference for deepening the local medical reform.Methods:Based on the data of Shanghai Statistical Yearbook,this paper analyzes the number of hospitals and comprehensive hospitals,the number of beds and personnel,the use of beds,the number of patients treated and the number of patients admitted from 2003 to 2018.The composition ratio,annual percentage change and average annual percentage change in the Joinpoint regression model to analyze the trend of the indicators in the comprehensive hospitals.Results:From 2003 to 2018,the total average number of hospitals in Shanghai was 364,and the number of comprehensive hospitals was 173,accounting for 47.52%.The number of beds,number of employees,health technical personnel,practicing(Assistant)doctors and registered nurses accounted for 57.61%,67.44%,68.28%,68.40%and 69.38%of the total hospitals respectively.The average number of open beds,diagnosis and treatment,outpatient and emergency treatment and admission accounted for 57.11%,68.67%,68.77%and 71.86%respectively.The trend analysis in 2003-2018shows that,the trend analysis finds that the proportion of institutions,employees,health technology personnel,the proportion of licensed,total hospital bed turnover,turnover times of general hospital beds,the proportion of beds in general hospitals,the proportion of patients in general hospitals,the proportion of outpatient and emergency patients in comprehensive hospitals showed significant upward trends;The total average length of stay and the average length of stay showed significant downward trends.Conclusion:Hospital beds,human resources and other resources in Shanghai are gradually concentrated in comprehensive hospitals.The scale of those is gradually expanding and the turnover is speeding up.Comprehensive hospitals are still the top priority of medical reform.

关 键 词：上海市 综合医院 医改 趋势分析 

分 类 号：R195[医药卫生—卫生统计学]