摘要
目的:比较分析四川省“十三五”期间民营医院与公立医院发展状况,为进一步促进公立医院和民营医院高质量发展提供参考。方法:采用描述性统计分析和比较分析法对“十三五”期间四川省民营医院和公立医院卫生物力、人力、财力、医疗服务量和医疗服务利用效率等发展状况进行研究。结果:“十三五”期间四川省民营医院数量由2016年1362家增加至2020年1745家,2020年公立医院平均床位数为693.77张,高于民营医院;民营医院各类卫生人力年平均增长率均高于公立医院,注册护士数增长最快,达15.45%,2020年民营医院的医护比为1∶1.10,低于公立医院的1∶1.27;民营医院卫生财力年平均增长率均超过13.5%,高于公立医院;民营医院诊疗人次数占比在17%左右,入院人次数占比在24%左右,远低于公立医院;公立医院医疗服务效率总体优于民营医院,但2020年公立医院平均住院日(10.41天)和医师每日负担住院床日(2.86天)均低于民营医院。结论:“十三五”期间民营医院总体快速增长,其规模、卫生技术人员比例、卫生服务量和服务利用效率等均低于公立医院;应进一步加大民营医院政策扶持力度,创新医疗模式,鼓励医疗创新和人才培养,同时加强依法监管,推动民营医院的高质量发展。
Objective:To compare and analyze the development status of private and public hospitals in Sichuan province during the 13th Five-Year Plan period,so as to provide references for further promoting the high-quality development of public and private hospitals.Methods:Descriptive statistical analysis and comparative analysis were used to study the development status of private and public hospitals in Sichuan province during the 13th Five-Year Plan period,including health material resources,human resources,financial resources,medical service volume and medical service utilization efficiency.Results:During the 13th Five-Year Plan period,the number of private hospitals in Sichuan province increased from 1362 in 2016 to 1745 in 2020.The average number of beds in public hospitals in 2020 was 693.77,which was higher than that of private hospitals.The average annual growth rate of various types of health workforce in private hospitals was higher than that of public hospitals,and the number of registered nurses had grown the fastest,reaching 15.45%.The doctor-nurse ratio of private hospitals in 2020 was 1∶1.10,which was lower than 1∶1.27 of public hospitals.The average annual growth rate of the health and financial resources of private hospitals exceeded 13.5%,which was higher than that of public hospitals.Private hospitals accounted for about 17%of patients and about 24%of admissions,far lower than public hospitals.Public hospitals were generally better than private hospitals in terms of medical service efficiency,but the average length of hospital stay(10.41 days)and the number of days spent on hospital beds by doctors(2.86 days)of public hospitals were both lower than those of private hospitals in 2020.Conclusion:During the 13th Five-Year Plan period,private hospitals grew rapidly overall,and their scale,proportion of health technicians,health service volume and service utilization efficiency were all lower than those of public hospitals.It is necessary to further increase policy support for private hospitals,innovate
作者
杨展
刘银
李宁秀
YANG Zhan(Medical Affairs Office,West China Second University Hospital,Sichuan University,Chengdu,Sichuan,610041,China)
出处
《医学与社会》
北大核心
2022年第11期111-115,134,共6页
Medicine and Society
基金
国家自然科学基金资助项目,编号为71473171。
关键词
民营医院
公立医院
发展状况
四川
Private Hospital
Public Hospital
Development Status
Sichuan
