京津冀中医类医院医疗资源及服务发展现状与对策

Current Situation and Strategies of Medical Resources and Services in TCM Hospitals in Beijing, Tianjin and Hebei Areas

目的对京津冀地区的中医类医院医疗资源及服务情况进行现状调查与分析,并提出对策。方法从《中国卫生和计划生育统计年鉴》《全国中医药统计摘编》中获取2012-2016年北京市、天津市、河北省的数据,利用Excel 2013,对三地的机构数、床位数、人员数、诊疗量、出院人数等进行统计分析。结果⑴2016年,北京市、天津市、河北省分别有中医类医院191、56、237个,占本省市医院总数的29.94%、13.30%、14.65%;床位数分别占本省市医院床位总数的20.69%、15.72%、15.30%;执业(助理)医师分别占本省市医院执业(助理)医师总数的21.59%、18.45%、16.61%。北京市中医类医院资源相对丰富。⑵2016年,北京市、天津市、河北省中医类医院诊疗量分别4008.58万、1461.63万、2102.22万人次,北京市明显高于天津市与河北省;医师日均担负诊疗人次分别为12.34、12.32、4.99人次,北京市与天津市均高于河北省。北京市与天津市的医疗负担相对较重。⑶2012-2016年,河北省中医类医院执业(助理)医师占医院执业(助理)医师总数的比例维持在16%~17%;2016年,万人口中医类执业(助理)医师数为0.92人,低于北京市的3.62人与天津市的1.77人。执业(助理)医师与中医类执业(助理)医师均较为缺乏。结论应有序疏解北京市中医类医疗资源向天津市、河北省流动,扎实推进中医类医院分级诊疗制度实施,支持中医药人才合理流动。

Objective Investigate and analyze the current situation of TCM class hospital resource and service in Jing-Jin-Ji, and make policy recommendations. Methods The data comes form China Health and Family Planning Statistics Yearbook and Extraction Compilation of National TCM Statistics. Use Excel2013 to make statistical analysis. Results ⑴ In 2016, the total number of TCM class hospitals in Beijing, Tianjin and Hebei are respectively 191, 56 and 237,taking up 9.94%, 13.30% and 14.65% in hospitals. The number of beds of these hospitals take up 20.69%、15.72%、15.30% in the beds of hospitals. The number of registered（assistant） doctors of these hospitals take up 21.59%,18.45 and 16.61% in the registered（assistant） doctors of hospitals. The medical resources of Beijing is abundant relatively. ⑵ In 2016, the numbers of visits of TCM class hospitals in Beijing, Tianjin and Hebei are respectively 4008.58, 1461.63 and 2102.22（10000）, and the number of Beijing is higher than Tianjin and Hebei. Every physicians is responsible for 12.34, 12.32 and 4.99 outpatients everyday on average in these hospitals, and the numbers of Beijing and Tianjin are higher than Hebei. The medical burden of Beijing and Tianjin are heavier than Hebei. ⑶ The proportion of the registered（assistant） doctors of TCM taking up registered（assistant） doctors keep 16% in Hebei in nearly five years. In 2016, the number of registered（assistant） doctors of TCM every ten thousand people in Hebei is 0.92, and it is lower than the number of Beijing（3.62） and Tianjin（1.77）. The registered（assistant） doctors and the registered（assistant） doctors of TCM were all insufficient. Conclusion It is necessary to relocate TCM class hospital resources from Beijing to Tianjin and Hebei, promote the implementation of grading diagnosis and treatment system, and support the flow of TCM talents reasonably.