2022年广西基层医疗卫生机构基础设施设备与人力资源配备现状研究

Research on the status quo of infrastructure,equipment,and human resources allocation in Guangxi primary medical and health institutions in 2022

目的 了解广西基层医疗卫生机构基础设施设备与人力资源配备现状,为实现基层卫生健康高质量发展、构建优质医疗卫生服务体系提供参考依据。方法 参照不同类型基层医疗卫生机构服务能力标准,对广西基层医疗卫生机构业务用房、周转房和医疗设备配备,以及卫生人员队伍建设现状与缺口进行调查和统计分析。结果 广西乡镇卫生院按国家标准下限(300 m^(2))核算的缺口面积为575 564.83 m^(2),按国家标准上限(1 100 m^(2))标准核算的缺口面积为796 058.09 m^(2),社区卫生服务中心缺口面积为42 548.78 m^(2),村卫生室缺口面积为138 686.23 m^(2),新建(扩建、改建)周转房面积需求(缺口面积)为511 197.88 m^(2)。每万人口全科医生的数量为2.60人,距2025年“十四五”规划目标仍有1.40人的差距,村卫生室执业(助理)医师占卫生人员总数的比例为16.72%,距2025年“十四五”规划目标仍有28.28%的差距。结论 部分基层医疗卫生机构业务用房面积未达到标准化建设要求,基层医疗卫生机构存在医疗设备不足或未能充分利用的现象,基层卫生人才队伍建设有待提高。应当坚持政府主导,分批分期推进基层医疗卫生机构业务用房达标建设,扎实推进基础医疗设备配备,同时聚焦基层卫生人才培育,促进基层卫生人才队伍的业务水平。

Objective To understand the status quo of infrastructure,equipment,and human resources allocation in Guangxi primary medical and health institutions,and provide reference for realizing the high-quality development of primary health and building a high-quality medical and health service system.Methods The status quo and insufficiency of business rooms,short-term houses,medical equipment,and medical staff team in Guangxi primary medical and health institutions were investigated and statistically analyzed,in accordance with the service capacity standards of different types of primary medical and health institutions.Results According to the lower limit of the national standard(300 m^(2)),the insufficient area of Guangxi township health centers was 575,564.83 m^(2),and according to the upper limit of the national standard(1,100 m^(2)),the insufficient area of Guangxi township health centers was 796,058.09 m^(2).The insufficient area of community health service centers was 42,548.78 m^(2),the insufficient area of village health clinics was 138,686.23 m^(2),and the area demand(insufficient area) of new(expanded,reconstructed) short-term houses was 511,197.88 m^(2).The number of general practitioners per 10,000 population was 2.60,which was still 1.40 short of the target of the 14th Five-Year Plan(by 2025),and the proportion of(assistant) medical practitioners to the total number of health personnel in village health clinics was 16.72%,which was still 28.28% short of the target of the 14th Five-Year Plan(by 2025).Conclusion The business rooms area of some primary medical and health institutions does not meet the requirements of standardized construction,the medical equipment is insufficient or underutilized in primary medical and health institutions,and the construction of primary medical staff team needs to be improved.It is necessary to adhere to the government′s leadership,promote the construction of business rooms of primary medical and health institutions in batches and phases to reach the standard,solidly advance the allocation of basic medical equipment,and focus on the cultivation of primary health talents to promote the professional level of primary health talents team.