首页|分级诊疗制度下盐城市医疗卫生服务能力变化研究

分级诊疗制度下盐城市医疗卫生服务能力变化研究

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目的 分析并预测盐城市医疗卫生服务能力变化情况,为有效推进分级诊疗制度提供参考.方法 以2012-2021年江苏省卫生健康年鉴数据为基础,利用灰色预测模型对盐城市医疗卫生资源和卫生服务等指标进行分析和预测.结果 2012-2021年,机构数、床位数、执业(助理)医师数、注册护士数呈逐年增长趋势,预计2026年分别达到3449个、53 110张、26 435人、30 340人;2012-2021年盐城市诊疗人次数、入院人数、健康体检数及家庭卫生服务量总体上逐年增加,而病床使用率却呈下降趋势,到2026年诊疗人次数和入院人数分别到达4691.797万人和163.128万人,病床使用率下降到69.61%,健康检查337.525万人,家庭卫生服务将快速增长,年均增长率为10.58%.结论 盐城市医疗服务能力在逐步提升,但存在医疗服务设施配置有待优化、医疗资源利用率不高、注册护士短缺、基层医疗服务能力不足等问题,亟需采取有效措施推进分级诊疗实施,提升医疗卫生服务能力.
Study on the change of medical and health service capacity in Yancheng City under the graded diagnosis and treatment system
Objective To analyze and predict the changes of medical and health service capacity in Yancheng City,and to provide reference for effectively promoting the graded diagnosis and treatment system.Methods Based on the data of Jiangsu Health Yearbook from 2012 to 2021,the indicators such as medical and health resources and health services in Yancheng City were analyzed and predicted by using the grey prediction model.Results From 2012 to 2021,the number of institutions,beds,practicing(assistant)physicians,and registered nurses showed an increasing trend year by year.It is expected to reach 3449,53 110,26 435,and 30 340 respectively by 2026;From 2012 to 2021,the number of patients diagnosed and treated,the number of hospitalizations,the number of health examinations,and the volume of home health services in Yancheng City increased year by year,while the utilization rate of hospital beds showed a downward trend.By 2026,the number of patients diagnosed and treated and the number of hospitalizations will reach 46.917 97 million and 1.6318 million,respectively,and the utilization rate of hospital beds will decrease to 69.61%,and the number of health examinations will reach 3.375 25 million.Home health services will grow rapidly,with an average annual growth rate of 10.58%.Conclusion The medical service capacity of Yancheng City is gradually improving,but there are problems such as the need to optimize the configuration of medical service facilities,low utilization rate of medical resources,shortage of registered nurses,and insufficient grassroots medical service capacity.It is urgent to take effective measures to promote the implementation of graded diagnosis and treatment and enhance medical and health service capabilities.

Graded diagnosis and treatmentService capacityYanchengGrey prediction

许兰、常丽、钱晓娟、王宏伟

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江苏医药职业学院,江苏盐城 224005

分级诊疗 服务能力 盐城 灰色预测

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(18)