新医改以来我国民营医院医疗服务情况及地区差异分析
Analysis on medical service and regional differences of private hospitals in China since the new healthcare reform
目的 分析民营医院医疗服务发展中存在的问题,为促进民营医院发展、落实鼓励社会办医政策提供参考.方法 利用国家卫生行政部门公布的统计年鉴数据,采用描述性分析方法,对新医改以来我国民营医院医疗服务承载量和医疗服务效率情况进行分析.结果 从医院数量和规模来看,截至2016年底,民营医院占全国医院总数的56.39%,床位数占21.69%.从医疗服务量来看,民营医院服务量有所增长,但增幅不大.截至2016年底,其诊疗人次数及入院人次数占全国医院服务总量的12.90%及15.84%.从服务效率来看,截至2016年底,其病床使用率为62.8%,医师日均担负的诊疗人次为5.5人次,医师日均担负的住院床日数为2.2床,与公立医院仍有较大差距.同时,民营医院呈现地区发展不平衡状况.结论 改善社会形象、灵活使用人才、提升服务质量,是当前提高民营医院医疗服务能力的关键举措.
更多Objective To analyze problems in the development of medical service at private hospitals, and provide references for promoting the development of these hospitals and implementing policies for encouraging this sector′s growth. Methods The data were collected from the statistical yearbook published by the National Health Commission of the People′s Republic of China, and descriptive analysis method was used to analyze the medical service workload and medical service efficiency of private hospitals in China since the new healthcare reform. Results Private hospitals accounted for 56. 39% of the total number of hospitals in China, accounting for 21. 69% of beds by the end of 2016. From the perspective of medical service workload, the service volume of these hospitals had increased yet at a small pace. The number of patients and inpatients received accounted for 12. 90% and 15. 84% respectively of all the hospitals in China. From the point of service efficiency, by the end of 2016, the bed utilization ratio was 62. 8%, the daily medical visits to their doctors were 5. 5 persons-times, and the daily number of hospitalized beds per doctor was 2. 2 beds. These numbers lag far behind public hospitals. The development of private hospitals varied with regions in imbalance. Conclusions Improving the social image, attracting talents and improving service quality are key to improving the medical service capacity of private hospitals.
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