【摘要】 目的　掌握河南省城市医疗资源拥有量和利用率现状 ,以及医疗质量、服务水平和人力资源等特点。方法　采用全省普查的方法 ,对河南省 18个城市二级以上医院 1999年的卫生资源拥有量、结构及医疗水平等进行调查。结果　河南省城市二级以上医院共 182所 ,实有病床总数为 5 110 7张 ,医生总数为 2 2 85 9人 ,医护比为 1∶1 0 4。病床使用率为 6 5 5 5 % ,病床工作日为 2 34 6 3天 ,病床平均周转次数为 15 5 1次 ,平均住院日为 13 87天。平均每所医院收支结余为 - 15 0 2 7万元 ,药品收入占总收入的4 4 6 7%。结论　河南省城市二级以上医院工作效率接近全国平均水平 ,医护配置结构需进行调整 ,药品收入比重较高更多还原

【Abstract】 Objective To find out the possession and utilization of urban medical resources in Henan as well as other factors like medical quality, service level and human resources. Methods A general investigation was made of the possession and structure of health resources and the level of medical services in second tier urban hospitals and above in 18 cities of Henan Province. Results There are altogether 182 second tier urban hospitals in the province, with a total of 51 107 beds and a total of 22 859 doctors. The ratio of doctors to nurses is 1∶1 04, the bed utilization rate is 65 55%, the bed workdays are 234 63 days, the average bed turnover frequency is 15 51 times, and the average length of stay is 13 87 days. The average income surplus per hospital is 1 502 700 yuan, with the income from the sale of pharmaceuticals accounting for 44 67% of the total income. Conclusion The operating efficiency of second tier urban hospitals and above in Henan Province is close to the average national level, the structure of hospital allocations needs readjustment, and the percentage of income from the sale of pharmaceuticals is on the high side.更多还原