衡阳市城市医疗资源配置与运行状况的调查研究

【作者】 刘莉；

【导师】 肖水源； 柴光军；

【作者基本信息】 中南大学 ， 公共卫生， 2007， 硕士

【摘要】 目的：通过对衡阳市2005年市区医疗资源状况、医院经营现状等城市医疗资源配置与运行状况的分析，探讨衡阳市城市医疗资源配置与运行状况的各种影响因素，寻求城市医疗资源合理配置和良性运行的对策，为衡阳市医疗卫生事业的协调、可持续发展提出指导性建议，为促进和加快我省医疗卫生体制改革进程提供参考依据。方法：于2006年2～3月份，采用听取汇报、发放调查表、召开座谈会、查阅有关资料和现场察看等方式，重点调查了衡阳市区的40家医疗机构，其中24家政府办非营利医疗机构、3家集体或其他非营利性医疗机构、8家营利性医疗机构和5家公立机构改制医疗机构，对衡阳市卫生资源各项指标的绝对数、均数及其构成比等进行描述性统计分析，并与全省总体水平进行比较。结果：2005年衡阳市市区共有各类医疗卫生机构935个，共有床位9448张，卫生工作人员11575名。每千人口拥有卫技人员12.92人，全市医护比为1∶0.44，每千人口拥有10.55张床位，每百万人口拥有大型医用设备量为29.0台，卫技高级职称人员2／3以上及65.5％的大型设备集中在三级医院；在调查的40所医院中，药品收入在医院总收入中所占比例逐年减少，2005年负债总额达34114.55万元，公用支出占医院支出比例最大，2005年医院病床使用率上升到80.9％，平均每门诊人次医疗费用及平均每出院者住院费高于全省平均值。结论：衡阳市区医疗资源丰富，医疗机构资产增值较快，形成了以南华附一院为龙头的较为健全的城市医疗服务体系；医疗服务功能不断完善，医疗资源的使用率和绩效逐步提高；但是，城区医疗资源配置不合理，政府宏观调控乏力，财政投入严重不足，医院负债过重等问题还比较严重，制约了衡阳市医疗卫生事业的发展。要实现衡阳市医疗卫生事业的可持续发展，必须坚持科学发展观，强化区域规划，调整资源结构，加大政府投入，深化内部改革，提高资源绩效。更多还原

【Abstract】 Objective : Through investigating on health resources allocation including health resources state, management state of hospital in Hengyang city in 2005, we study some influential factor of health resources allocation and operational state in Hengyang city,to supply some basic references for sustainable development of health service in Hengyang city and advance process of health system reform.Methods : With listen to report, questionnaire, symposium, look up literature,field observation method, we investigated 40 medical services in Hengyang city, conducted statistical analysis of absolute value, average and proportion of index about health resources, and compared them with levels in Hunan Province.Results : In 2005, there were 935 all kinds of medical institutions, 9448 beds, and 11575 health staff. There were 12.92 health professionals per thousand and 10.55 beds per thousand. The ratio between doctor and nurse was 1∶0.44. The ratio of business income from drug in hospital income was decrease year by year; Total amount in debt is 34114.55 ten thousand RMB; The ratio of public expenditure in hospital expenditure was the largest; The usage of hospital bed was rise to 80.9%, The average medical cost per out-patient and the average cost of hospitalization per discharged patient were all higher than average value of Hunan Province.Conclusions : The hygienic resources total quantity in Hengyang city was rich, but health resources distributed unevenly, the public health invested the funds to be few;health resources allocation distribution structure was unreasonable, also the overweight of debt of hospital is still prominent. To achieve the continuous development of health service in Hangyang city, we must persist in the scientific viewpoint of development, strengthen regional health planning, deepen the internal reform and promote efficiency.更多还原