宿迁市医疗改革10年卫生资源状况

Health resources status of Suqian City after a decade medical reform

目的以卫生资源核心数据反映宿迁市医疗改革前后卫生资源是否有显著增长,发展速度与周边地区是否存在差别,探讨分析医改对宿迁地区的卫生资源配置的影响。方法调查、统计、对比2000—2009年间江苏全省、宿迁市、宿迁周边地区的徐州、连云港、淮安市卫生人力资源、床位数、卫生资产等数据。结果宿迁市改制10年来,每千人卫技人员数增幅为43.38%,明显高于周边地区(徐州4.41%,连云港23.86%,淮安26.72%);宿迁每千人床位数增幅为141.35%,更是显著高于周边地市(徐州51.31%,连云港58.82%,淮安60.13%);宿迁市2004年卫生总资产10.2亿元,净资产6.5亿元,至2010年分别达到84.1亿元及54.9亿元,分别增长8.19和8.47倍。结论宿迁医改后卫生资源大幅度增加,增幅远远超出周边发展增幅,总量甚至超过了连云港市和淮安市。卫生事业发展速度显著有别于周边未改制地区,从根本上缓解了该地区医疗卫生资源严重短缺与广大老百姓日益增长的卫生需求的矛盾。

[Objective] To reflect whether the resources have greatly grown after the health reform,whether the difference of development speed exist between local area and the surrounding places in Suqian City,and explore the effect of medical reform on allocation of local health resources.[Methods]a survey about human resources for health,number of hospital beds,health assets and other data was performed in statistical and comparative ways in Jiangsu Province including Suqian City,Xuzhou,Lianyungang,Huai＇an City during 2000-2009.[Results]Since the medical reform has been carried out for 10 years in Suqian City,medical technical personnel increased by 43.38% in per thousand ones,significantly higher than surrounding areas（Xuzhou4.41%,Lianyungang 23.86%,Huai＇an 26.72%）;hospital beds increased by 141.35% in per thousand ones,obviously higher than surrounding places（Xuzhou 51.31%,Lianyungang 58.82%,Huai＇an 60.13%）;In 2004,health total assets 1.02 billion Yuan which increased to 8.41 billion Yuan in 2010.Net assets climbed from 650 million in 2004 Yuan to 5.49 billion in 2010,respectively with an increase of 8.19 times and 8.47 times.[Conclusion]As the result of medical reform,health resources has been greatly increased,the amplitude of development is significantly higher than the surrounding areas.Medical resource aggregate is even more than Lianyungang City and Huai＇an City.The health development speed is significantly different with surrounding areas without health care reform.The contradiction between serious shortage of local medical resources and the growing health needs of the majority of people has been fundamentally eased.