2009年至2016年我国医院康复科资源配置状况分析

摘要

Objective To analyze the resources allocation and service provision of hospital rehabilitation departments in China from 2009 to 2016, for finding problems and providing references for improvement of hospital rehabilitation system in China. Methods Using the statistical yearbook of health and family planning in China from 2010 to 2017,descriptive analysis was made to describe the rehabilitation service and resources allocation of hospital rehabilitation departments in China in recent years. Results From the perspective of service volume, the quantity of rehabilitative services was increasing year by year, and the number of patients discharged from the hospital has increased rapidly among the total number of hospital discharged inpatients countrywide. By the end of 2016, this proportion was 1.26%. From the perspective of resources allocation, by the end of 2016, the proportion of the rehabilitation beds was just 2.62% of all hospital beds. Personnel staffing was poor by the end of 2016, as there were only 0.02 practicing rehabilitation doctors (assistants) per every 1 000 population. Conclusions It is imperative to strengthen the resources of hospital rehabilitation departments, increase the number of hospital beds and personnel,and improve the pay for these staff, to ensure their service capability. It is also an important guarantee to provide the people with healthcare that is all-dimensional and full lifecycle.%目的 对2009年至2016年我国医院康复科资源配置及服务情况进行分析,以发现存在的问题,为完善我国医院康复体系提供参考.方法 利用2010年至2017我国卫生和计划生育统计年鉴数据,采用描述性分析描述近年来我国医院康复科医疗服务及资源配置情况.结果 从服务量来看,康复科服务量逐年递增,其出院人次数在全国医院总出院人次数中所占比重增长较快,截至2016年底这一比重为1.26%.从资源配置情况来看,截至2016年底,康复科床位数在医院床位数中所占比重仅为2.62%,与《综合医院康复医学科基本标准(试行)》标准要求仍有差距.人员配备不足,截至2016年底,每千人口拥有的康复科执业(助理)医师数仅为0.02人.结论 应加强医院康复科资源配置,增加病床和人员配备数量,提高人员待遇,这是保证其服务能力的前提,也是为居民提供方位、全生命周期健康服务的重要保障.