安徽省妇幼保健机构管理机制分析

Analysis on management mechanism of maternal and child health care institutions in Anhui Province

目的了解和比较安徽省不同管理模式的妇幼保健机构发展现状,为机构管理改革提供依据。方法通过2016年度的安徽省妇幼保健机构监测数据库提取妇幼保健机构的人力资源与服务状况,采用电话调查方式收集各妇幼保健机构的性质和管理模式。其他省份相关资料来自2016年全国妇幼保健机构资源与运营情况调查分析报告。分析全省妇幼保健机构人员配置、妇幼保健服务及管理机制。结果 2016年底,全省共有123家妇幼保健机构,其中省级1家、市级16家、区级45家和县(市)级61家。实行I类管理的有94家,I类机构的编制数、职工人数、编制床位数、实际使用床位数和人均业务收入等指标均远远落后于II类机构。仅33.3%(41/123)家机构提供临床住院服务,22家II类机构全部提供临床住院服务。在提供住院服务的机构中,I类机构的职工数(平均63.9人)、床位数(平均25.3张)、人均住院收入(1.1万元)和床均住院收入(2.1万元)均低于II类机构(分别为201.3人、103.5张、10.9万元和21.2万元)。结论安徽省妇幼保健机构体系建设完善,但发展规模明显落后于全国其他省份的平均水平;以公益I类为主,提供住院服务的比例较低;I类妇幼保健机构的发展规模、住院服务能力和效率显著落后于II类机构。

Objective To identify and compare the development indicators of MCH(maternal and child health) institutions with different management system in Anhui Province,in order to provide information for MCH institutional management and reform.Methods Related institutional indicators were selected from 2016 Anhui provincial MCH institutions monitoring database.Management indicators such as institutional nature and management model were collected through telephone survey.National MCH indicators were extracted from the survey and analysis report on resources and operation of the national MCH institutions in 2016.Indicators of MCH institutional development were statistical compared.Results By the end of 2016,there were 123 MCH institutions in Anhui Province,including 1 provincial institution,16 municipal institutions,45 district institutions and 61 county institutions.There were 94 MCH institutions with type I management system(about 2/3).The assigned numbers of staff and beds,and real numbers of staff and beds were much lower in type I institutions than in type II institutions,so was the personnal income.Only 41 institutions provided inpatient services(33.3%),including all of the 22 type II institutions.Among the 41 institutions with inpatient services,staff numbers(average 63.9),beds numbers(average 25.3),in-patient revenue per staff(RMB 11000) and in-patient revenue per bed(RMB 21000) were all much lower than those of type II institutions(201.3,103.5,109000 and 212000 respectively).Conclusion The MCH institutional system was completed in Anhui province,but developmental size was less than the national average. Type I MCH institutions were more than type II and the proportion of providing in-patient services was low. The institutional size,service capacity and efficiency among the type I institutions were much lower than the type II institutions.