2004—2013年广西卫生资源配置与利用分析

Analysis on health resource allocation and utilization in Guangxi from 2004 to 2013

目的 :通过对2004—2013年广西卫生资源配置与利用情况的分析,发现资源配置与利用存在的问题,为卫生行政部门优化资源配置、制定区域卫生发展规划提供参考。方法 :采用描述性分析,对不同时期医疗资源配置与利用效率进行比较分析。结果 :2004—2013年广西卫生机构数量变化不大,床位数、卫生人员数和卫生技术人员数分别增长了103.91%、121.09%和101.69%;诊疗人次、医师人均日担负诊疗人次和病床使用率的增长率分别为221.30%、75.51%和59.74%。结论 :卫生资源总量增加,但人均量不足;卫生资源利用效率不断提高,医师工作压力较大;医护比得到改善,但仍需完善。建议加强基层能力建设,因地制宜配置资源;加大对医师和护士的培养力度。

Objective： To analyze the allocation and utilization of health resources in Guangxi Zhuang Autonomous Region from 2004 to 2013, so as to put forward suggestions for reasonable decision-making and utilization of health resources. Methods： The descriptive analysis on allocation and utilization of health resources in different periods was carried out. Results： From 2004 to 2013, the number of health institutions had few changes, and the number of beds, health personnel and health professionals increased by 103.91%, 121.09% and 101.69%, respectively. The clinic visits, daily visits per doctor and the utilization rate of beds increased by 221.30%, 75.51% and 59.74%, respectively. Conclusion： The total health resources increased; the health resources per capita were still low. The efficiency in utilization of health resources was improved; the workloads of health personnel increased. The ratio of physician-nurse increased, but it needed further improvement. It is suggested to strengthen the service capacity of primary health institutions, allocate health resources according to local conditions, and make more efforts in training the physicians and nurses.