我国中医医疗服务体系建设现状分析

Analysis on the current situation of the construction of Chinese medical service system in China

[目的]对我国新医改以来中医医院医疗服务体系建设情况进行分析,为中医医院实现“十四五”发展规划提供参考。[方法]选取2010-2020年中医医院医疗资源配置的相关数据,按照不同的类型运用增长率、构成比等具体指标分析全国中医医院医疗服务体系建设情况。[结果]截至2020年中医医院数量增长率为4.86%,东部地区医院数量达到了1756家。个人办中医医院、卫生技术人员数和万元以上设备数的年均增长率分别为16.52%、7.28%和14.60%。2020年中医医院的总收入是2010年的3.91倍,总支出是3.78倍,医院资产负债达到了51.05%。10年间,中医医院诊疗人次数增加了19077.6万人次。[结论]2010-2020年我国中医医疗服务体系建设取得了较好的发展成效,体现在中医院数量不断上升,结构进一步优化,中医院诊疗人数逐渐增多,医疗卫生人员数量不断上涨。但在新形势下仍存在着各地区医疗资源分布不均,病床使用率不高以及中医院面临着较高的债偿风险等问题。

Objective This paper analyzes medical service construction of traditional Chinese medicine hospitals since the new medical reform in our country so as to provide reference for the realization of the“14th Five-Year Plan”development plan of traditional Chinese medicine hospitals.Methods It selected the relevant data on medical resources allocation of TCM hospitals from 2010 to 2021,and analyzed the construction of the medical service system in TCM hospitals in China according to different types of specific indicators such as growth rates and composition ratios.Results As of 2020,the growth rate of the number of traditional Chinese medicine hospitals was 4.86%,and the number of hospitals in the eastern region had reached 1,756.The average annual growth rates of private traditional Chinese medicine hospitals,the number of health technicians and equipment above 10,000 yuan was 16.52%,7.28%and 14.60%respectively.The total revenue of TCM hospitals in 2020 was 3.91 times that of 2010,the total expenditure was 3.78 times,and the hospital s assets and liabilities had reached 51.05%.In the past 10 years,the number of visits in traditional Chinese medicine hospitals had increased by 190.776 million.Conclusions From 2010 to 2020,medical service system construction of traditional Chinese medicine has achieved good development results,which is reflected in the continuous increase in the number of traditional Chinese medicine hospitals,the further optimization of the structure,the gradual increase in the number of visits in traditional Chinese medicine hospitals,and the continuous increase in the number of medical and health personnel.However,under the new situation,there are still problems such as uneven distribution of medical resources in various regions,low utilization rate of hospital beds,and high risk of debt repayment in traditional Chinese medicine hospitals.