2008-2010年广西壮族自治区县级妇幼保健院医疗服务利用情况分析

Analysis on medical service utilization of maternal and child health care hospitals at county levels in Guangxi Zhuang Autonomous Region from 2008 to 2010

目的：通过分析2008-2010年广西壮族自治区县级妇幼保健院的医疗服务利用情况,为妇幼保健院改革和制定发展方向提供依据。方法：自编调查问卷,调查广西壮族自治区14个地级市的67个县级妇幼保健院2008-2010年医疗服务利用情况,调查内容包括年门（急）诊量、年出院人次数、年住院手术例数及病床使用率等。结果：2010年门诊人次、急诊人次、住院手术人次及出院人次与2008年相比分别增长了27.27%、28.17%、31.93%和32.26%;病床使用率3年分别为75.44%、80.42%和80.51%,2010年病床使用率大于100%的县级妇幼保健院约占20%,小于85%的县级妇幼保健院约占45%;门诊与入院诊断符合率、入院与出院诊断符合率、手术前后诊断符合率及住院危重患者抢救成功率3年均在96%以上,治愈率3年分别为88.35%、88.48%和89.15%,病死率3年分别为0.20%、0.11%和0.06%。结论：2008-2010年广西壮族自治区县级妇幼保健院服务量不断增加,服务效率不高,整体平均水平在标准以下,部分县级妇幼保健院病床闲置,部分县级妇幼保健院则病床负担较重,服务质量逐年提升。结论：广西壮族自治区县级妇幼保健院在今后发展中应合理配置医疗资源,继续提升医疗服务效率。

Objective： To provide a basis for reform and making development direction of maternal and child health care hospitals at county levels in Guangxi Zhuang Autonomous Region by analyzing medical service utilization of maternal and child health care hospitals at county levels in Guangxi Zhuang Autonomous Region from 2008 to 2010. Methods： A self - designed questionnaire was used to investigate medical service utilization of 67 maternal and child health care hospitals at county levels in 14 prefecture - level cities of Guangxi Zhuang Autonomous Region from 2008 to 2010, the contents including annual hospital outpatient （emergency） amount, annual hospital discharge person - time, annual hospital - surgical amount and utilization rate of hospital beds, and so on. Results： Compared with 2008, annual hospital outpatient amount, annual hospital emergency amount, annual hospital -surgical amount and annual hospital discharge person -time increased by 27.27%, 28. 17%, 31.93% and 32. 26%, respectively; the utilization rates of hospital beds from 2008 to 2010 were 75.44%, 80. 42% and 80. 51%, respectively; the maternal and child health care hospitals at county levels with the utilization rate of hospital beds 〉 100% in 2010 accounted for 20% approximately, the maternal and child health care hospitals at county levels with the utilization rate of hospital beds 〈 85% accounted for 45% approximately; the diagnostic accordance rates from 2008 to 2010 were more than 96% ; the cure rates from 2008 to 2010 were 88.35%, 88.48% and 89. 15%, respectively; the mortality rates from 2008 to 2010 were 0. 20%, 0. 11% and 0.06%, respectively. Conclusion： Medical resource should be allocated reasonably in further development of maternal and child health care hospitals at county levels in Guangxi Zhuang Autonomous Region to further improve medical service efficacy.