县域医疗卫生资源:评估、功能定位及优化路径  

A study on assessment, functional orientation and optimization path of medical and health resources at county level

作　　者：王哲 范宪伟 关博[1] 顾严[1] WANG Zhe;FAN Xian-wei;GUAN Bo;GU Yan(Institute of Social Development,Chinese Academy of Macroeconomic Research,Beijing 100038,China)

机构地区：[1]中国宏观经济研究院社会发展研究所,北京100038

出　　处：《中国卫生政策研究》2021年第9期62-68,共7页Chinese Journal of Health Policy

基　　金：中国宏观经济研究院2020年度重点课题(A2020061012)。

摘　　要：目的:基于对当前县域医疗卫生资源现状评估,研究当前和未来时期我国县域医疗卫生资源优化路径和对策。方法:采用统计年鉴和研究报告数据进行描述性统计和文献梳理。结果:近年来我国县域医疗卫生资源日益丰富,但资源布局不均衡、服务能力不高和体制机制不灵活等问题仍广泛存在。结论:当前和未来一段时期,应逐步摒弃"追大求全"惯性思维,根据县域人口规模、行政区划、地理区位、交通通达性等特点,差异化确定县域、县本级和县以下卫生功能定位和不同类型县域卫生资源发展重点,更好服务县域群众卫生健康需求。Objectives: To study the optimization path and countermeasures of China’s county-level medical and health resources for the current and future periods based on the assessment of status quo of such resources. Methods: Descriptive statistics and literature review were carried out on the basis of statistical yearbooks and research reports. Results: In recent years, county-level medical and health resources in China have become increasingly abundant, but problems such as imbalance in resource distribution, low service quality, and low institutional flexibility still exist extensively. Conclusions: At present and in a near future, efforts should be made to abandon the inertial thinking of "pursuing larger size and all-embracing functions" step by step, differentiate the orientation of health functions in county regions, at county level and below county level as well as the development priorities of health resources in different types of county regions in accordance with such characteristics as county population size, administrative division, geographical location and traffic accessibility, so as to better meet the health needs of the mass in county regions.

关 键 词：卫生资源 县域 资源评估 功能定位 

分 类 号：R197[医药卫生—卫生事业管理]