江苏省农村医疗卫生资源配置现状及效率分析

Analysis of the Status and Efficiency of Rural Health Resource Allocation in Jiangsu Province

目的分析江苏省农村医疗卫生资源配置情况和效率,发现问题并提出解决对策。方法应用描述性统计分析农村医疗卫生资源配置和利用情况,采用数据包络分析法评价农村医疗卫生资源投入产出效率。结果2018年乡镇卫生院数量有所减少,2018年村卫生室比2011年减少8.28%;2018年乡镇卫生院床位使用率为64.8%,乡镇卫生院医护比.为1:0.78,平均每村卫生室护士配置0.84人,2018年每村卫生室乡村医生数比2011年减少47.81%。数据包络分析法评估结果显示,2018年乡镇卫生院和村卫生室医疗卫生资源投入产出相对有效性分别为弱有效和非DEA有效。结论农村医生和护士比较短缺,农村医疗卫生资源配置效率也偏低,今后进一步增加农村卫生人力资源数量,扩大农村卫生机构.服务范畴,提高农村医疗卫生资源利用效率。

Objective To analyze the allocation status and efficiency of rural health resource in Jiangsu Province, explore the problems and put forward countermeasures. Methods Descriptive statistic method was applied to analyze the allocation and utilization of rural health resource. Data envelopment analysis was used to evaluate the input-output efficiency of rural health resource. Results The number of township hospitals decreased in 2018. The number of village clinics decreased by 8.28% in 2018, compared to 2011. The sickbed utilization rate was 64.8% in township hospitals in 2018. The proportion of doctors to nurses was 1:0.78 in township hospitals. The average number of nurses was 0.84 per village clinic. The average number of village doctors per village clinic decreased by 47.81% in 2018 compared to 2011. The relative input-output efficacy of health resource of township hospitals and village clinic was weak efficient and non-efficient in 2018, respectively. Conclusion The number of rural doctors and nurses was insufficient. The allocation efficiency of rural health resource was low. It is suggested to increase the quantity of rural health human resource continually, expand the service scope of rural health institutions and improve the utilization efficiency of rural health resource.