摘要
目的分析我国中医医疗资源分布及其变化情况,为合理配置中医医疗服务资源提供参考。方法资料来源于2014—2021年度《中国卫生健康统计年鉴》,采用AcrGis 10.8软件分析我国31个省份中医类医疗卫生机构及其床位、人员的数量分布及变化情况,采用灰色关联法分析中医医疗资源变化的影响因素。结果我国中医类医疗卫生机构数、人员数和床位数分别从2013年的41966家、89.47万人和79.42万张增加到2020年的72355家、151.30万人和143.29万张;各省份中医医疗资源总量排名变化不大,四川、广东、山东等省份处于领先地位,中西部地区总体排名靠后;中医类门诊部(诊所)对中医类医疗卫生机构数量增长的贡献最大(r=0.96),而中医类医院对中医药人员和床位数量增长的贡献最大(r=0.65,r=0.66)。结论近年来,我国中医医疗资源总量呈快速增长的趋势,但资源分布相对不均衡。应结合基层实际情况,以特色人才队伍建设为抓手,完善监督考核体系,健全人才培养机制,强化重点地区政策倾斜和典型地区示范引导作用,优化中医药文化氛围,推动中医药发展。
Objective To analyze the situation and changing trend of Traditional Chinese Medicine(TCM)resources in China,for reference in rationalizing TCM service resources distribution.Methods Data were collected from the China Health Statistics Yearbooks(2014-2021).The quantitative distribution and variations of TCM medical institutions as well as their beds and manpower in 31 provinces of China were analized by the ArcGis 10.8 software.Grey correlation analysis was used to analyze the factors that have a greater impact on the changes of TCM medical resources.Results The number of TCM medical institutions,manpower and beds in China increased from 41966,894690 and 794160 in 2013 to 72355,1513024 and 1432900 in 2020 respectively.The ranking of the total TCM medical resources in each province remained relatively stable.Sichuan,Guangdong and Shandong ranked the highest,while the central and western regions ranked lower generally.TCM outpatient departments(clinics)contributed the most to the growing numbers of TCM medical institutions(r=0.96),while TCM medicine contributed the most to the growth of the number of TCM manpower and beds(r=0.65,r=0.66).Conclusions The total TCM resources in China keep a rapid growth in recent years,yet with a relatively uneven distribution.Therefore,we should combine the actual situation at the grass-roots level,focuse on building a team of featured talents,improve the supervision and assessment system,perfect the talent training mechanism,strengthen the policy preference in key regions and the exemplary role of typical regions,to optimize the cultural atmosphere of TCM,and promote the development of TCM services.
作者
罗烨
董政军
Luo Ye;Dong Zhengjun(Administrative Office of Shanghai First Maternity and Infant Hospital,Shanghai 201204,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2022年第8期575-579,共5页
Chinese Journal of Hospital Administration
关键词
中医医疗资源
区域分布
变迁研究
Traditional Chinese Medicine resources
Regional distribution
Change research
