贵州省精神卫生机构资源配置与服务情况差异性研究  

Research on the Differences of Resource Allocation and Service Utilization in Mental Health Institutions in Guizhou Province

作　　者：李睿 吴刚 周曹 陈雄 王珊珊 LI Rui;WU Gang;ZHOU Cao;CHEN Xiong;WANG Shanshan(Department of Medical Affairs,the Second People's Hospital of Guizhou Province,Guiyang Guizhou 550001,China;Party Committee Office,the Second People's Hospital of Guizhou Province,Guiyang Guizhou 550001,China)

机构地区：[1]贵州省第二人民医院医务科,贵州贵阳550001 [2]贵州省第二人民医院党委办公室,贵州贵阳550001

出　　处：《中国卫生标准管理》2024年第21期41-46,50,共7页China Health Standard Management

基　　金：贵州省卫生健康委科学技术基金项目(gzwkj2021-404)。

摘　　要：目的对贵州省精神卫生机构资源配置差异性进行调查和分析,为精神卫生管理部门制定和实施有关精神卫生规划提供参考依据。方法2022年1—12月通过发放调查问卷的方式了解贵州省精神卫生医疗机构资源与服务利用情况。结果参与问卷调查共120家医疗机构,共有编制床位数10583张,实际开放床位数29623张;医师1320名,护士4178名;门诊诊疗366064人次,入院61166人次,出院56201人次。9个地区医院在机构类别、主管单位、机构等级、实际开放床位数、护士人数和入出院人次方面比较,差异有统计学意义(P<0.05)。按照机构性质分类,公立医院门诊诊疗272728人次,入院19970人次,出院20983人次;民营医院门诊诊疗93336人次,入院41196人次,出院35218人次。按照机构等级分类,一级医院门诊诊疗23321人次,入院13181人次,出院12671人次;二级医院门诊诊疗117127人次,入院34019人次,出院30583人次;三级医院门诊诊疗204672人次,入院8370人次,出院8338人次;未定级医院门诊诊疗20944人次,入院5596人次,出院4609人次。9个地区机构在入出院人次上比较,差异有统计学意义(P<0.05)。各性质机构在门诊人次比较,差异有统计学意义(P<0.05)。各等级机构在门诊人次、入院人次上比较,差异有统计学意义(P<0.05)。结论精神卫生机构数量近年来大幅增加,精神卫生资源相对短缺且分布不均,精神卫生服务利用不均衡。Objective To investigate and analyze the differences in the resource allocation of mental health institutions in Guizhou province,and provide reference for mental health management departments to formulate and implement relevant mental health plans.Methods To investigate the resource and service utilization in mental health medical institutions in Guizhou province by issuing questionnaires on January to December 2022.Results A total of 120 medical institutions participated in the questionnaire survey,with a total of 10583 designated beds,29623 actual open beds,1320 doctors,4178 nurses,366064 outpatients,61166 inpatient admissions and 56201 patient discharges.There was a statistically significant difference in the types of institutions,supervisory units,institutional levels,actual number of open beds,number of nurses,and number of admissions and discharges among the 9 regional hospitals of the Party Committee Office(P<0.05).According to the nature of the institution,there were 272728 outpatient visits,19770 hospitalizations,and 20983 discharges in public hospitals;There were 93336 outpatient visits,41196 hospitalizations,and 35218 discharges in private hospitals.According to the classification of institutional levels,there were 23321 outpatient visits,13181 hospitalizations,and 12671 discharges in first tier hospitals;117127 outpatient visits were made in secondary hospitals,with 34019 hospitalizations and 30583 discharges;204672 outpatient visits were made in tertiary hospitals,with 8370 hospitalizations and 8338 discharges;There were 20944 outpatient visits,5596 hospitalizations,and 4609 discharges in hospitals that were not classified.There was a statistically significant difference in the number of admissions and discharges among 9 regional institutions(P<0.05).There was a statistically significant difference in the number of outpatient visits among institutions of different natures(P<0.05).There was a statistically significant differencein the number of outpatient visits and hospitalizations among institution

关 键 词：精神卫生 医疗资源 卫生服务利用 差异性 贵州省 资源配置 

分 类 号：R197[医药卫生—卫生事业管理]