摘要目的：比较2003年至2012年中国、美国、澳大利亚、英国、智利5国床位资源配置以及平均住院日情况,为提高我国床位资源使用效率提供参考。方法采用时间序列分析2003年至2012年中国、美国、澳大利亚、英国、智利的医院床位资源配置以及使用情况的变化趋势,并截取2012年数据对比分析5国的床位配置、医护配比及住院时长。结果2003年至2012年,5个国家床位资源变化趋势不同,我国每千人口床位数上涨了73.56%,其他各国均有不同幅度下降,我国床护比低于其他国家；我国出院人数不断攀升,澳大利亚略有上升,其他3国均呈下降趋势；各国医院出院者平均住院日均呈下降趋势,但我国与其他4国差距较大。结论我国医院床位资源逐年增加,但平均住院日居高不下,医院床位使用过度与使用不足并存。缩短平均住院日是解决患者需求矛盾、提高医院床位资源使用效率的重要途径。

abstractsObjective To analyze and compare hospital beds resources deployment and average days of stay of China,the United States,Australia,the UK and Chile from 2003 to 2012,for references in improving the efficiency of hospital bed resources in China.Methods Time series analysis was used to study the resources deployment of hospital beds of the five countries in such timeframe,with comparative analysis of their beds deployment,doctor-nurse ratio and days of stay using data of 2012 separately. Results Such a timeframe has witnessed differences in the hospital beds of these countries.For example, China′s hospital beds per 1 000 people during this period rose by 73.56% against a decline in other countries;a lower bed-nurse ratio in China than other countries;considerable rising hospital discharges in China and slight rising in Australia with declines in the others;declining average days of stay in all five countries,with a considerable gap between China and other four countries.Conclusions Hospital beds keep increasing year by year,but the average days of stay remain high in China,while overuse and underuse of such beds are found at the same time.Shorter average days of stay have become a key way out for easing the patients′demand and improving the efficiency of hospital beds.