基于RSR法评价湖南省2022年医疗卫生资源配置现状  

Evaluation on the current status of medical and health resource allocation in Hunan Province based on RSR method

作　　者：续翔 张天成[1] 陈鸿君 闻杰 XU Xiang;ZHANG Tiancheng;CHEN Hongjun;WEN Jie(School of Public Health,University of South China,Hengyang,Hunan 421200,China;The Health Commission of Hunan Province,Changsha,Hunan 410000,China)

机构地区：[1]南华大学公共卫生学院,湖南衡阳421200 [2]湖南省卫生健康委员会,湖南长沙410000

出　　处：《实用预防医学》2023年第8期1012-1015,共4页Practical Preventive Medicine

摘　　要：目的通过对湖南省14个市州2022年医疗卫生资源配置现状综合评价,为湖南省各级政府优化医疗卫生资源配置提供决策依据。方法采用每千人口卫生机构数、床位数、卫生技术人员数、执业(助理)医师数、注册护士数、医护比6项评价指标,运用秩和比综合评价法对湖南省各区域医疗卫生资源配置情况进行综合评价。结果按照《湖南省“十四五”医疗卫生服务体系规划》的要求,湖南省预期每千人口执业(助理)医师数年增长率为2.20%,当前年增长率为1.21%;预期每千人口注册护士数年增长率为2.30%,当前年增长率为1.11%;预期每千人口床位数为8.0张,当前为8.22张,已达到要求;全省医疗卫生资源配置可分为三档,湘潭市、长沙市、怀化市为第3档;邵阳市、岳阳市、娄底市、衡阳市、郴州市、株洲市、永州市、益阳市、湘西州为第2档;常德市、张家界市为第1档。结论湖南省医疗卫生机构床位资源发展速度过快,人力资源增速较慢,且区域间差异较大,需要合理高效优化区域间卫生资源配置,提高卫生资源配置的公平性及合理性。Objective To comprehensively evaluate the current status of medical and health resources allocation in 14 cities and prefectures of Hunan Province in 2022,and to provide a decision-making basis for governments at all levels in Hunan Province to optimize medical and health resources allocation.Methods The number of health institutions per 1,000 persons,the number of beds per 1,000 persons,the number of health technicians per 1,000 persons,the number of practicing(assistant)physicians per 1,000 persons,the number of registered nurses per 1,000 persons and the ratio of physician-nurse were used to comprehensively evaluate the allocation of medical resources in each region of Hunan Province by rank-sum ratio comprehensive evaluation method.Results According to the requirements of Medical and Health Service System Planning of Hunan Province during the 14th Five-Year Plan period,the annual growth rate of licensed(assistant)physicians per 1,000 persons in Hunan Province was expected to be 2.20%,with the current annual growth rate being 1.21%.The projected annual growth rate of registered nurses per 1,000 persons was 2.30%,with the current annual growth rate of 1.11%.The number of beds per 1,000 persons was expected to be 8.0,with 8.22 at present,which had met the requirements.The allocation of medical and health resources in the province could be divided into three levels,namely,Xiangtan,Changsha and Huaihua for the third level,Shaoyang,Yueyang,Loudi,Hengyang,Chenzhou,Zhuzhou,Yongzhou,Yiyang and Xiangxi Prefecture for the second level,and Changde and Zhangjiajie for the first level.Conclusion The bed resources of medical and health institutions in Hunan Province develop too fast,the growth rate of human resources is slow and the differences among regions are very great.It is necessary to optimize the allocation of health resources among regions reasonably and efficiently,and improve the fairness and rationality of allocation of health resources.

关 键 词：秩和比 医疗卫生资源 床位资源 人力资源 资源配置 

分 类 号：R197.32[医药卫生—卫生事业管理]