2019-2021年四川省二级及以上公立中医医院与综合医院医疗服务对比分析

Comparative analysis of medical services between secondary and above public TCM hospitals and general hospitals in Sichuan Province from 2019 to 2021

[目的]比较分析四川省二级及以上公立中医医院和综合医院的经济运行情况,为二级及以上公立中医医院高质量发展提供数据支持。[方法]选取2019-2021年四川省公立中医医院和综合医院医疗服务量、服务效率、人力效率、医疗收入、中医特色指标等内容,采用增长率、构成比等分析方法对两种不同类型的医院进行分析。[结果]2021年无论中医医院还是综合医院医疗业务总量基本恢复至疫情前水平,二级及以上公立中医医院中医药服务人次数较2019年减少544.42万人次,占比减少17.83个百分点;中医饮片收入占比和中药院内制剂收入占比呈增长趋势,中医非药物疗法收入呈现下降趋势。二级及以上公立中医医院平均住院日(9.93日)较同期综合医院长1.36日,较2019年缩短0.2日;病床使用率(90.68%)较同期综合医院低4.81个百分点,较2019年下降0.12个百分点。两类医院医师人均每日担负诊疗人次数和医师人均每日担负住院床日数基本持平。[结论]公立中医医院中医特色指标有待进一步加强,药品费用结构整体向好,西药收入占比降低,但卫生材料费用略有增长,平均住院日和病床使用率略有降低,医疗服务效率有待进一步加强。

Objective The economy of secondary and above public TCM hospitals and general hospitals in Sichuan Province was compared and analyzed to provide data support for the high-quality development of secondary and above public TCM hospitals.Methods The medical services volume,service efficiency,human resource efficiency,medical income and TCM characteristic indicators of public TCM hospitals and general hospitals in Sichuan Province from 2019 to 2021 were selected to analyze the two different types of hospitals with analysis methods such as growth rate and composition ratio.Results In 2021,the total volume of medical services in both traditional Chinese medicine hospitals and general hospitals had basically returned to the pre-epidemic level.The number of people received traditional Chinese medicine services in second level and above public traditional Chinese medicine hospitals had decreased by 5.4442 million compared with 2019,accounting for 17.83 percentage points less.The proportion of revenue from Chinese herbal medicine and Chinese herbal medicine made by hospital were showing an increasing trend,while the revenue from non-pharmacological therapies of traditional Chinese medicine showed a downward trend.The average length of stay in secondary and above public TCM hospitals(9.93 days)was 1.36 days longer than that of general hospitals in the same period,which was 0.2 days shorter than that of 2019.The utilization rate of hospital beds(90.68%)was 4.81 percentage points lower than that of general hospitals in the same period and 0.12 percentage points lower than that of 2019.The number of daily consultations and the number of days in charge of inpatient beds per physician in the two kinds of hospitals were basically the same.Conclusions The TCM characteristic indicators of public traditional Chinese medicine hospitals need to be further strengthened.The overall structure of drug costs is improving,and the proportion of western medicine revenue is decreasing,but the cost of health materials has slightly increased.The average length of hospital stay and the utilization rate of bed have slightly decreased,and the efficiency of medical services needs to be further strengthened.