摘要
目的对中贫困地区医疗服务现状进行调查,为贫困地区医疗服务科学发展提供参考。方法利用贫困地区卫生计生基线调查网络直报系统,收集到全国798个贫困县的医疗服务的相关数据,通过专家咨询法筛选出医疗服务核心指标,对核心指标进行描述性分析。结果 2015年贫困地区新农合病人县外住院比例达到35.37%,三级医院对口帮扶的贫困县县级医院占比为92.05%,贫困人口签约覆盖率仅为77.68%;平均有医疗卫生机构263个,卫生技术人员数1 302人,千人口床位数为3.68张;患者平均住院天数为7.45天,病床使用率78.94,年人均就诊2.9次,年住院率5%。结论贫困地区在医疗服务方面仍然存在着县域内医疗服务能力差、医疗资源配置不足、医疗服务效率低等问题,应进一步加强帮扶和签约力度,并且补齐短板,合理规划配置资源,提高医疗服务利用效率。
Objective To investigate the status of resources and utilization of medical service in poverty-stricken areas in China and to provide references for the improvement of medical service in the areas.Methods Data on medical service in 798 poverty-stricken counties across China during 2015 were extracted from Network Direct Reporting System for Basic Information of Health and Family Planning. Key indicators for medical service were determined using expert consultation method and analyzed with descriptive methodology.Results Among all the hospitalized patients covered by New Rural Cooperative Medical System （NCMS）, 35.37% were admitted into the hospitals located in the administrative regions other than the poverty-stricken counties. For all county hospitals in the poverty-stricken areas, 92.05% got counterpart support provided by tertiary hospitals. For all the poverty-stricken areas in 2015, the coverage rate of contracted medical service was only 77.68% among the poverty-stricken populations; the average number of medical institutions was 263; the average total number of medical staff was 1 302; the average number of beds per 1 000 population was 3.68; the average hospital stay days for hospitalized patients was 7.45; the average beds utilization rate was 78.94%; the average annual number of outpatient visit per capita was 2.9; and the annual hospitalization rate was 5%.Conclusion Poor capability and low efficiency of medical service and deficient medical resources allocation are major problems for medical service in poverty-stricken areas in China. Counterpart support to grassroots medical institutions, contracted medical service for residents, and reasonable allocation of medical resources need to be strengthened to upgrade medical service and its utilization in the areas.
作者
谢富香
朱兆芳
XIE Fu-xiang;ZHU Zhao-fang(Department of Literature Evaluation, Institute of Medical Information Research, Kunming, Yunnan Province 650100, China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2018年第7期1013-1016,共4页
Chinese Journal of Public Health
基金
贫困地区卫生计生基本情况快速评估指标研究(201696)
关键词
贫困地区
医疗服务
现状分析
poverty-stricken area
medical service
cross-sectional analysis
