“全面二孩”政策下产科床位需求与缺口测算

The maternity beds demands and gaps under the universal two-child policy

“全面二孩”政策实施后，我国出生人口数量将进一步增加，产科床位资源面临挑战。本文基于出生人口的变化情况，采用卫生服务需求法对产科床位资源配置需求与缺口进行测算。结果显示，2016—2020年需再新增配置73478～99004张产科床位才能满足服务需求，建议配置的产科床位主要向中、东部地区倾斜，同时适当调整床位在不同级别、类别助产机构的比例，并完善分级诊疗机制，从而缓解北京、上海等大城市的产科接诊压力。

With the universal two-child policy implementation, the birth rate increased, posing challenges to the maternity beds resource allocation. Based on the birth rate and the method of health service demand, we calculat- ed the maternity beds demands and gaps during the period from 2016 to 2020. Results showed that numbers between 73 478 and 99 004 of maternity beds are needed annually and mainly allocated to eastern and central areas as well. In addition, the maternity beds of different delivery institutions should be adjusted and the hierarchical diagnosis system should be improved in order to alleviate the pressure of the obstestric acceepts in big cities like Beijing and Shanghai.