福建省县级综合医院服务能力变化分析

Comparative study on the service capacity changes of county-level general hospitals in Fujian province

目的了解福建省县级综合医院发展现状及其综合改革情况。方法采用问卷调查方法，对福建省59所县级综合医院2013年和2016年的发展情况进行调查，调查内容包括基本情况、床位数、人力资源配备、服务能力、科室设置、医疗技术发展情况等。同时，从国家卫生和计划生育委员会县级医院服务能力调查数据采集信息系统中，提取相关信息进行补充。采用描述性统计学方法进行数据分析。结果福建省59所县级综合医院在床位规模、人力资源配备、医疗服务能力、科室设置、医疗技术等方面，都有一定程度的发展和进步。与2013年相比，2016年的床位数、在岗人员数、门急诊人次数分别增长3．78％、12．24％、7．95％。结论福建省县级综合医院应在合理规划的基础上，适当扩大规模，加强高层次人才队伍建设，重点发展关键技术和薄弱学科，形成核心竞争力，深入推进县级医院综合改革。

Objective To learn the present development and comprehensive reform of county-level general hospitals in Fujian province. Methods Questionnaires were used to survey the development of 59 county-level general hospitals in 2013 and 2016 in the province. The study covered such aspects as basic profile, number of beds, human resources, service capacity, department setup and medical technology development among others. These data were replenished by information from the service capacity survey data collection system for county-level hospitals of the National Health and Family Planning Commission. The data so acquired were subject to descriptive statistics. Results 59 such hospitals had made developments and progress to various extents in terms of the number of beds, human resources, medical service capacity, department setup and medical technology development. Compared with those in 2013, their beds, employees, and number of inpatients and outpatients had grown by 3. 78%, 12. 24% and 7. 95% respectively. Conclusions These hospitals should, based on scientific planning, appropriately scale up, strengthen their high-caliber talent teams, focus on the development of key technologies and key weak disciplines. These efforts will help develop core competitiveness, and deepen their comprehensive reform.