2010-2013年兰州市妇幼保健机构卫生资源分析研究

Analysis and research on health resource of maternal and child health care institutions in Lanzhou city from 2010 to 2013

目的通过分析2010-2013年兰州市县(区)级妇幼卫生保健机构卫生资源状况,掌握兰州市妇幼保健机构卫生资源配置情况,为进一步推进兰州市妇幼保健体系建设,提高妇幼卫生保健水平提供依据。方法收集2010-2013年兰州市县(区)级妇幼卫生保健机构妇幼卫生年报资料,整理后采用Excel软件录入信息,计算构成比并进行分析。结果 2010-2013年兰州市妇幼保健机构中业务用房面积明显大于行政用房面积,从2010年的9 192 m^2(22.63%)增加至2013年的10 873 m^2(26.77%);行政用房面积由2010年的3 119 m^2(29.65%)减少至2013年的2 519 m^2(23.95%)。但妇幼保健所(站、院)配置的宣传设备与一般设备配置略显不平均,经济较发达地区的卫生资源明显高于较落后地区的卫生资源,经济较发达地区如安宁区千元以上仪器设备总件数由2010年的15件(19.48%)增加至2013年的25件(32.47%);七里河区千元以上仪器设备总件数由2010年的32件(17.78%)增加至2013年的71件(39.44%),红古区千元以上仪器设备总件数由2010年的36件(20.93%)增加至2014年的52件(30.23%)。各地区卫生经费中妇幼经费所占比例相差较大,七里河区和西固区为100.00%,城关区为28.16%,皋兰县为9.41%,榆中县为6.27%,安宁、红古区和永登县都低于5%。结论 2010-2013年兰州市各妇幼保健机构卫生资源分配有所改善,费用和数量不断提高,但仍然存在妇幼保健机构工作条件不完善,卫生资源利用率低,卫生资源结构不合理等情况。

Objective To grasp maternal and child health care resources allocation in maternal and child health care institutions in Lanzhou city from 2010 to 2013 by analyzing the status of health care resources in maternal and child health care institutions at county（ district） level in Lanzhou city,provide a basis for further promoting maternal and child health care system construction and improving maternal and child health care level. Methods Annual report on maternal and child health care institutions in Lanzhou city from 2010 to 2013 were collected,Excel was used to summarize the data,the proportions were calculated and analyzed. Results The area of business in maternal and child health in Lanzhou city from 2010 to 2013 was significantly larger than that of administration,which increased from 9 192 m^2（22. 63%） in 2010 to 10 873 m^2（26. 77%） in 2013; the area of administration decreased from 3 119 m^2（29. 65%） in 2010 to 519 m^2（23. 95%） in 2013. The allocation of equipments for propaganda and general equipments in maternal and child health care institutes（stations,hospitals） was unequal. The health care resources in developed areas were significantly better than those in undeveloped areas,the total number of equipments above one thousand Yuan in Anning District increased from 15 pieces（ 19. 48%） in 2010 to 25 pieces（32. 47%） in 2013; the total number of equipments above one thousand Yuan in Qilihe District increased from 32 pieces（17. 78%） in2010 to 71 pieces（39. 44%） in 2013; the total number of equipments above one thousand Yuan in Honggu District increased from 36pieces（20. 93%） in 2010 to 52 pieces（ 30. 23%） in 2013. The proportions of maternal and child health care expenditure in the total health care expenditure in different districts varied significantly,which were 100. 00% in Qilihe District and Xigu District,28. 16% in Chengguan District,9. 41% in Gaolan County,6. 27% in Yuzhong County; the proportions in Anning District,Honggu District,and Yongdeng county were all below 5%. Conclusion Health resource allocation of maternal and child health care institutions in Lanzhou city has been improved from 2010 to 2013. The cost and quantity increased,however,working conditions was still not perfect,health resources utilization rate was low,and structure of health resources was unreasonable.