基于非首都功能疏解的北京市中医药资源配置研究

Study on the Allocation of Traditional Chinese Medicine Resources in Beijing Based on Non-Capital Function Resolution

目的:分析2013-2017年北京市四大功能区的中医药资源在非首都功能疏解政策实施前后的变化情况,为北京市优化中医药资源配置提供数据参考。方法:采用个案库汇总法对北京市首都功能核心区、城市功能拓展区、城市发展新区和生态涵养发展区的中医药资源数量进行统计,中医药资源主要包括中医类机构、中医执业(助理)医师和中医床位。结果:首都功能核心区中医类医院数量约为生态涵养发展区的4.70倍;生态涵养发展区中医类门诊部、诊所增长较快,年均增速为4.53%;城市功能拓展区与城市发展新区中医执业(助理)医师增长较快,近3年环比增速均在8.00%以上,生态涵养发展区年均增速为1.50%;城市功能拓展区中医床位年均增速达13.58%,生态涵养发展区年均增速为1.12%。结论:在中医药资源总量增长的同时更应注重资源的优化配置;中医药资源疏解需与人口疏解相匹配;中医药资源疏解的顺利实施离不开政府引导。

Objective: To analyze the changes of traditional Chinese medicine resources in the four major functional areas of Beijing from 2013 to 2017 before and after the implementation of the non-capital functional relief policy, and to provide data reference for optimizing the allocation of traditional Chinese medicine resources in Beijing. Methods: The case database aggregation method was used to collect the quantity of traditional Chinese medicine resources in Beijing Capital Functional Core Area, Urban Functional Development Area, New Urban Development Area and Ecological Conservation Development Area. Traditional Chinese medicine resources mainly include traditional Chinese medicine institutions, Chinese medicine practitioners(assistants) and traditional Chinese medicine beds. Results: The number of traditional Chinese medicine hospitals in the capital functional core area is about 4.7 times of that in the ecological conservation development area;the number of outpatient departments and clinics of traditional Chinese medicine in the ecological conservation development area has increased rapidly, with an average annual growth rate of 4.53%;the number of practicing doctors of traditional Chinese medicine(assistants) in the urban functional development area and the new urban development area has increased rapidly, with a growth rate of more than 8% in the past three years. The average annual growth rate of conservation development zone is 1.50%. The average annual growth rate of TCM beds in urban functional development areas was 13.58%, while that in ecological conservation development areas was 1.12%. Conclusion:We should pay more attention to the optimal allocation of resources while the total amount of resources of traditional Chinese medicine is increasing, and the relief of resources of traditional Chinese medicine should be matched with population relief. In addition, the smooth implementation of traditional Chinese medicine resources relief can not be separated from the guidance of the government.