基于资本形成账户的北京市医疗卫生功能疏解分析

Analysis of medical functional dispersal in Beijing based on capital formation account

目的:为北京市卫生部门及时掌握卫生资源配置动态,把握医疗功能疏解契机,合理调整资源配置提供政策建议。方法:本研究利用卫生财务年报个案库汇总的核算方法,通过对区域间各类政府办卫生机构固定资本形成总额的描述性分析,研究北京市医疗功能疏解动态。结果:2015年北京市优质医疗资源及卫生行政资源疏解效果较好,但公共卫生资源发展不均衡。结论建议:在进一步鼓励优质医疗资源有效疏解的同时根据市场需求做好前期区域规划,避免盲目建设;重视公共卫生服务能力的均衡发展以及卫生行政管理能力的协同发展,出台配套政策合理配置公共卫生与卫生行政资源,为医疗功能的全面疏解做好储备工作。

Objective： To provide policy recommendations for Beijing public health departments to grasp the dynamic allocation of healthcare resources and the advantage of medical functional dispersal,and making appropriate health policies to rationally adjust the allocation of health resources. Methods： To study the dynamic function of Beijing medical,this study uses the method of accounting of cases summary of the annual report on health finance through the descriptive analysis of the gross fixed capital formation in various regional government-run health facilities. Results： The results of this study show that the quality of medical health administrative resources was higher,but effectively dispersed in 2015. By contrast,the basic public health resources allocation was unbalanced. Conclusion： This study puts forward the corresponding health policy suggestions. On one hand,it is important to make further policy to encourage high quality medical resources to be effectively relieved and the regional planning should be done according to market demand by avoiding the blind construction at the early stages. On the other hand,much attention should be paid on the balanced development of the basic public health service ability and the coordinated development of administrative capacity in health,and supporting policies should be formulated,which should rationally allocate the public health resources for a better overall medical functional dispersal.