四川省贫困县医疗服务现状分析

Analysis on Current Status of Medical Services in Poor Counties of Sichuan

目的分析四川省贫困县医疗服务现状与差距,为提高贫困人口医疗服务可及性和公平性提供科学依据。方法基于"四川省卫生计生统计数据综合采集与决策支持系统"数据,对2015年四川省贫困县医疗服务量、医疗服务效率和住院患者流向情况进行分析。结果四川省贫困县,特别是少数民族贫困县医疗服务量、医疗服务效率均低于非贫困县。贫困县县域内就诊率相对较高,但选择跨市高级别医院住院比例高于非贫困县。结论根据四川省贫困县实际情况,提高贫困地区医疗服务水平;采取精确的定向医疗救助,改善贫困人口医疗服务可及性和公平性;发挥区域联动作用,通过信息化手段等方式缩小贫困地区医疗服务差距。

OBJECTIVE To provide references for improving the accessibility and equity of medical services in population in poverty though analyzing the status of medical services in poor counties of Sichuan province.METHODS Based on data of Sichuan health and family planning statistical data collection and decision support system in 2015,the quantity and quality of medical services,the hospitalized patients flow direction in poor counties of Sichuan province were analyzed.RESULTS The quantity and quality of medical services in poor counties of Sichuan province were lower than non-poor counties.The hospitalization rate within county was relatively high,while the ratios of inpatients who choosing cross-regional high level hospital were higher than non-poor counties.CONCLU-SION It should take measures to improve the quality of medical services in poor counties of Sichuan province,and to improve the accessibility and equity of medical services in population in poverty through precise oriented medical assistance,to narrow the gap of medical services in poor areas through regional interaction,informatization,et al.