论文部分内容阅读
目的调查2009~2010年成都市新津县基本医疗服务情况,为成都市公益性改革提供基本医疗服务的基线数据及政策建议。方法收集2009~2010年新津县门/急诊人次,出/入院人次,服务绩效和利润情况。采用Microsot Excel 2003和SPSS 13.0软件进行分析。结果①门/急诊,出/入院人次按县级、乡院、社区的顺序依次减少,2009~2010年,门/急诊人次除社区中心2010年较2009年递减31.0%和25.3%外,县级和乡院2010年较2009年递增,出/入院人次数均2010年较2009年递增。②病床使用率2010年较2009年递增,其中县级医院2009年较全国水平低8%,2010年较全国高33.5%;乡院均高于全国水平;社区中心均低于全国。③平均住院日2010年较2009年减少,县级医院和社区中心均低于全国水平。④次均门诊费用总体2010年较2009年降低且低于全国水平。⑤出院患者费用药品费、治疗费、检查费2010年较2009年增长,这3种费用占8种费用的构成比超过86%。⑥2009~2010年,新津县全年收支保持平衡并略有结余,其中收入2010年较2009年增长39.3%,支出增长37.7%。结论新津县基层医疗机构病床使用率、平均住院日、次均门诊费用等指标均优于全国同类数据,总体卫生资源较好,但配置不均,优化卫生资源需坚持效益与效率相统一。
Objective To investigate the basic medical services in Xinjin County, Chengdu from 2009 to 2010 and to provide baseline data and policy recommendations on basic medical services for public welfare reforms in Chengdu. Methods The number of door / emergency visits, attendance / attendance, service performance and profit of Xinjin County from 2009 to 2010 were collected. Analyzed using Microsot Excel 2003 and SPSS 13.0 software. Results ① The number of door / emergency visits and outpatient visits decreased in the order of county level, township hospital and community levels. From 2009 to 2010, the number of door / emergency attendance in addition to community centers decreased 31.0% and 25.3% respectively from 2010 to 2009, And Township hospitals in 2010 increased compared with 2009, out of the number of hospital admission were increased in 2010 compared with 2009. ② The utilization rate of beds in 2010 increased from that in 2009, of which the county-level hospitals were 8% lower than the national average in 2009 and 33.5% higher than the national average in 2010; the townships were above the national average; and the community centers were lower than the national average. ③ The average length of stay decreased in 2010 compared with 2009, and county hospitals and community centers were below the national average. ④ The average cost of outpatient visits in 2010 was lower than in 2009 and lower than the national average. ⑤ Patient Expenses for Drug Discharges The costs of medicines, treatment and examination increased in 2010 over 2009, accounting for over 86% of the total expenses of the eight kinds of expenses. ⑥ From 2009 to 2010, Xinjin County maintained its balance of payments and maintained a slight surplus for the full year. Its income in 2010 increased by 39.3% from 2009 and its expenditure increased by 37.7%. Conclusion The indexes of hospital bed utilization rate, average length of stay in hospital, average outpatient expense and so on are superior to similar data in the whole country. The overall health resources are better, but the distribution is not uniform. Optimizing the health resources must adhere to the unity of efficiency and efficiency.