2010年广西贫困县与非贫困县中医院卫生资源对比研究

摘要

目的：评价2010年广西贫困县与非贫困县中医院卫生资源的配置状况。方法通过问卷调查，收集2010年广西28个贫困县与26个非贫困县中医院的床位、卫生人力、设备、资产及用房等方面的数据，比较贫困县与非贫困县中医院卫生资源配置的差异。结果贫困县中医院病床规模以≤60床为主，占39．3％（11／28），非贫困县中医院病床规模以101～200床为主，占46．2％（12／26）。两类县的医护比均低于国家要求的1．2～1．3∶1的比例。贫困县中医院100万元以上设备总数为34台，平均1．21台；非贫困县100万元以上设备总数为51台，平均1．96台。两类县中医院净资产分别为873．0万元、1637．5万元，资产负债率分别为31．8％、45．7％；各项业务用房面积占建筑面积比例中，住院业务用房面积均偏高，其他业务用房面积均未达到国家中医医院建设标准。结论广西县级中医院主要以中小型规模建设为主，各类卫生技术人员的数量和编制明显不足、比例倒置；大型医疗设备缺乏；偿债能力有限，发展水平有待提高；住院用房面积比例居高，可能与医保报销有一定关系。%Objective To evaluate the health resources allocation status of traditional Chinese medicine( TCM) hospitals in poverty and non-poverty counties in Guangxi Zhuang Autonomous Region(Guangxi) in 2010.Methods A questionnaire survey was conducted to collect the data concerning number of hospital bed,health human resources,equipments,assets and business housing areas of TCM hospitals in 28 poverty and 26 non-poverty counties in Guangxi in 2010.A comparative analysis on the health resources allocations of poverty and non-poverty counties was performed.Results 39.3%(11/28) of TCM hospitals in the poverty counties owned the hospital beds more than 60,while 46.2%(12/26) of TCM hospitals in the non-poverty counties owned the hospital beds more than 101 and less than 200.The ratios of doctor to nurse in poverty and non-poverty counties were lower than 1.2-1.3 ∶1 which met the national requirement.The number of equipment whose price was more than one million yuan in poverty counties was 34,with an average of 1.21.The number of equipment whose price was more than one million yuan in non-poverty counties was 51,with an average of 1.96.The net assets of TCM hospitals in poverty and non-poverty counties were 8.73 million and 1 637.47 million yuan,respectively,the asset-liability ratios were 31.8%and 45.7%,respectively.In the proportions of various business housing areas to construction area,the highest was the hospitalization housing area to construction area,and the others didn′t meet the national standard.Conclusion Most of TCM hospitals in Guangxi are of small and medium scale,lack of health staff whose allocation is unreasonable,with insufficient large-scale medical equipments,limited solvency and poor level of development.Their proportion of hospitalization housing area is high,which might be associated with the reimbursement of medical insurance.