2016—2020年河南省妇幼保健机构发展状况

The development status of maternal and child healthcare institutions in Henan province,2016-2020

目的分析2016—2020年河南省妇幼保健机构发展变化情况,了解机构建设进展及存在问题,为妇幼保健机构发展提供科学依据。方法通过全国妇幼保健机构监测直报系统收集2016—2020年河南省妇幼保健机构基础设施、人力资源、服务提供及运营情况等数据,采用动态数列对各指标变化趋势进行分析,并与全国平均水平进行比较。结果2016—2020年河南省妇幼保健机构业务用房面积、万元以上设备台数、实有床位数、总资产、固定资产和专业设备资产年平均增长率分别为11.00%、16.94%、3.47%、13.51%、13.08%、14.70%;职工总数、在编人数、卫生技术人员数、执业医师人数、注册护士人数年平均增长率分别为7.22%、1.50%、7.38%、6.70%和8.63%;总收入、业务收入、财政补助收入和上级补助收入年平均增长率分别为11.17%、8.30%、28.18%、9.11%;门急诊人次数、出院人次数年平均增长率分别为6.55%、0.85%。与全国相比,河南省门急诊人次数年平均增长率是全国的5.16倍,而同时期业务用房面积、万元以上设备台件数、实有床位、卫生技术人员数等卫生资源指标年平均增长率仅为全国平均水平的0.79~1.30倍。2020年全省妇幼保健机构编制人数占职工总数的41.16%,卫生技术人员占职工总数的80.94%,卫生技术人员中高级职称占7.45%,研究生学历人员占4.54%,均低于全国平均水平。结论河南省妇幼保健机构卫生资源总量和卫生服务能力逐步提升,但卫生资源增长速度与卫生服务需求增长不匹配,卫生人力资源配置结构有待优化。

Objective To analyze the progress and existing problems of maternal and child healthcare(MCH)institutions in Henan province from 2016 to 2020 so as to provide a scientific basis for the further development.Methods The data of MCH institutions about Infrastructure,human resources,service provision and operation status,etc.were collected through the national monitoring and reporting system for MCH institutions,and the changing trend of index were analyzed by dynamic series and compared with the average for the whole country.Results From 2016 to 2020,the average annual growth rates of business room area,number of equipment above 10000 yuan,actual number of beds,total assets,fixed assets,and professional equipment assets in MCH institutions in Henan province were 11.00%,16.94%,3.47%,13.51%,13.08%,and 14.70%,respectively.The average annual growth rates of the total number of employees,number of the authorized strength of staff,number of health technicians,number of practicing physicians,and number of registered nurses were 7.22%,1.50%,7.38%,6.70%,and 8.63%,respectively.The average annual growth rates of total revenue,business revenue,fiscal subsidy revenue,and superior subsidy revenue were 11.17%,8.30%,28.18%,and 9.11%,respectively.The annual average growth rates of the number of outpatient and emergency patients,and the number of discharged patients were 6.55%and 0.85%,respectively.Compared with the whole country,the annual average growth rate of outpatient and emergency services in Henan province is 5.16 times that of the whole country,while the annual average growth rate of health resource indicators such as business room area,number of equipment above 10000 yuan,actual number of beds,and number of health technicians was only 0.79 to 1.30 times.In 2020,the number of the authorized strength of staff in maternal and child health institutions in Henan province accounted for 41.16%of the total number of employees,and the proportion of health technicians was 80.94%.Health technicians with senior professional titles accounted for 7.45%,and health technicians with postgraduate degrees accounted for 4.54%,lower than the national average.Conclusions The total amount of health resources and health service capacity in MCH institutions in Henan province are gradually improving,but the growth rate of health resources does not match the growth of health service demand,and the allocation structure of health human resources needs to be optimized.