山东省县综合医院现状分析

Analysis of the current status of county general hospitals in Shandong Province

目的 为摸清县医院运营现状 ,为卫生行政部门决策提供依据。方法 采用普查获取原始资料和调查问卷相结合的方法进行调研。结果 县平均人口 6 5万 ,其中农业人口占 84% ;国民生产总值平均 37 9亿元 ,人均 2 2 80元 ;县千人口医生 1 5 4个 ,病床 1 6 7张 ;县均卫生人力 391人 ,卫技人员占 86 5 % ,医生、护士、医技分别为 33 9%、36 1%、16 7% ,医护比为 1∶1 0 6 ;职称是高、中、初比为 1∶4 3∶8 8;每院年均收入 2 110万 ,政府拨款占 6 3% ,年均支出 1992万 ;病床使用率最低为 30 5 % ,最高为6 9 6 % ;每卫技人员年门急诊人次最少为 34 87次、最多为 35 7 6次。结论 卫生人力结构不合理 ,病床使用率低 ,有的县医院收支略有节余 ,有的负债经营。

Objective To find out the current status of the operation of county hospitals so as to provide health administrative departments with evidence for strategic decisions. Methods An investigation was made by the combined methods of obtaining firsthhand data through a general survey and questionnaires. Results The population of the counties averaged 650 thousand, with agricultural population accounting for 84%. The gross national product averaged 3.79 billion, with 2,280 yuan per capita. The number of doctors and beds per thousand people was respectively 1.54 and 1.67 and the number of health personnel per county averaged 391, with professional medical personnel accounting for 86.5%. The number of doctors, nurses and medical technicians accounted respectively for 33.9%, 36.1% and 16.7%. The ratio of doctors to nurses was 1∶1.06 and the ratio of people with senior, medium and junior professional titles was 1∶4.3∶8.8. The average annual income per hospital was 21.1 million yuan, with government funds accounting for 6.3% and the average annual expenditure was 19.92 million yuan. The lowest bed utilization ratio was 30.5% and the highest was 69.6%. The minimum number of annual acute-care visits received by a medical professional worker was 34.87 and the maximum number 357.6. Conclusion The structure of health human resources was irrational, the bed utilization ratio was low and while some county hospitals had a slight excess of income over expenditure, others operated on a money-losing basis.