北京市社区卫生服务机构运行现状分析

Operational Status of Community Health Service Institutions in Beijing

目的了解北京市近年来社区卫生服务机构总体运行情况。方法采用2008—2011年北京市卫生财务年报数据和2009—2011年北京市卫生统计资料,对社区卫生资源总量、就诊流向、服务提供效率、社区卫生服务机构财务状况进行分析。结果 2009—2011年每千人口社区卫生技术人员数由0.72人增至1.12人,社区卫生服务机构总诊疗人次占全市卫生机构诊疗总人次的比重由20.95%增至21.58%;平均每社区卫生服务机构获得的财政补助收入逐步增长,年均增速为31.35%;2011年次均门诊费用和住院费用中药品费用所占比重分别下降3.4%和7.8%。结论近年来,北京市社区卫生服务机构卫生资源增长迅速,财政补助力度加大,次均医药费用中药品费用比重下降明显,患者到社区卫生服务机构就诊比例有所提高。

Objective To analyze the operational status of community health service institutions （CHSI） after the new round of medical reform in Beijing.Methods Data in Beijing municipal health statistics annual reports from 2009 to 2011 and Beijing municipal health financial annual reports from 2008 to 2011 were analyzed.The main outcomes included the total amounts of community health resources,the distribution of patient visits,the service efficiency,and the financial status of these health institutions.Results The number of health professional personnel per 1 000 person increased from 0.72 in 2009 to 1.12 in 2011;the number of visits in CHSI accounted for 20.95% of the total visits in whole health facilities in 2009,which rose to 21.58% in 2011;the government subsidy per CHSI had increased annually,of which the average annual growth rate was 31.35%;and the share of expenditure on pharmaceuticals in total outpatient expenditure per visit and total inpatient expenditure per admission decreased by 3.4% and 7.8%,respectively in 2011.Conclusion With more government subsidy,the health resources in CHSI have increased rapidly;the share of expenditure on pharmaceuticals in total expenditures has declined sharply;and the proportion of patients in CHSI has become greater.