【摘要】 目的　通过分析改革开放以来广州市医疗资源配置和利用效率的变化趋势 ,发现医疗资源配置中存在的主要问题 ,为制定医疗资源配置规划提供依据。方法　采用描述性分析、升降趋势检验和比率分析法对不同经济发展时期医疗资源配置及利用效率进行比较分析。结果　广州市目前卫生资源人均拥有量已接近发达国家或地区水平 ,尚存在需要增长性短缺。医疗资源有向大中型医院集中的趋势 ,医疗资源质量偏低。医疗服务效率有下降趋势。结论　提示政府制定医疗资源配置规划时 ,应严格医疗资源的准入制度 ,提高医疗资源质量标准 ,给予适当数量发展空间。正确引导医疗资源流向社区基层和农村 ,提高医疗服务效率和服务可及性。更多还原

【Abstract】 ObjectiveTo identify the main problems and provide information for making plans on medical resources allocation by analyzing the dynamic trends of medical resources allocation and service efficiency in Guangzhou after reform and opening-up. MethodsDescriptive analysis, Ascend and Descend Trends Test and ratio analysis were used to compare medical resource allocation and utilization efficiency at different development phases. ResultsCurrently health resources per capita in Guangzhou are close to those in developed countries or areas, but relative shortage derived from demand-driven increase still exists. There is a central tendency toward big comprehensive hospitals, the quality of medical resources is rather low, and efficiency of medical services tends to descend. ConclusionIt showed that when the government making plans on medical resources allocation, strict entry regulation should be reinforced, the standard of medical resource quality should be improved, appropriate space should be left for further development. Medical resources should be directed to reallocate to communities and rural areas in a right way, medical service efficiency and accessibility should be improved.更多还原