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我国与经合组织国家医院床位数比较及其对我国分级诊疗制度建设的启示 被引量:8

Data of Hospital Beds in China Versus OECD Countries and Its Enlightenment to the Construction of China's Hierarchical Medical System
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摘要 无论人口规模还是经济总量,我国都居于世界前列。随着人口和经济的持续增长,合理调控医院床位规模,保持医院床位数与人口和社会经济发展相协调,提高各级医院床位使用率,成为我国深化医药卫生体制改革的重要内容。本文通过查阅相关文献和对比分析我国与经合组织国家的医院床位数数据,认为应重点控制三级医院床位数的过快增长,并通过医疗保险支付方式改革、家庭医生签约服务以及基层医疗卫生机构服务能力提升等措施,引导医疗卫生资源合理配置与平衡分布,深入推进分级诊疗制度建设,在缓解群众"看病难、看病贵"的同时,尽可能减少医疗卫生资源的浪费。 China is ranking at the top of the world in both the population scale and the economic aggregate.With the sustainable growth of population and economy,keeping the number of hospital beds being matched with the population growth and economic development by reasonable control of the number of beds and improvement of the occupancy rate of beds in hospitals at all levels,has become an important part of the deep reform in China's health system.Based on reviewing the relevant literature and comparatively analyzing the data of hospital beds in China versus OECD countries,we put forward a series of suggestions,such as specially controlling the excessive growth in the number of beds in tertiary hospitals,reforming the medical insurance payment mode,developing family doctor signing services and advancing the capabilities of services delivered by grassroots medical institutions,in order to provide a reference for the reasonable allocation and balanced distribution of health resources,significant improvement of the construction of hierarchical medical system,by which,the problem of " difficult and expensive to access to medical services" can be alleviated and the waste in medical and health resources can be reduced as much as possible.
作者 范玉改
出处 《中国全科医学》 CAS 北大核心 2017年第22期2694-2697,共4页 Chinese General Practice
关键词 医院病床数 病床利用率 分级诊疗 卫生资源 经济合作与发展组织国家 Number of hospital beds Occupancy rate of hospital beds Hierarchical medical system Health resources OECD countries
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