摘要
目的:对比分析医改前后县级中医类医院资源总量、运营服务及中医诊疗等方面的发展状况及变化趋势,为县级中医类医院发展提供理论和政策参考。方法:利用2002-2018年全国县级中医类医院相关指标数据进行描述性分析和对比分析。结果:医改前(2002-2008年)全国县级中医类医院机构数、床位数、总收入、总支出、门急诊人次数年均增速分别为0.35%、5.16%、18.35%、18.37%、4.35%,而医改后(2008-2018年)分别为2.36%、10.17%、14.81%、15.07%、3.71%;2018年病床使用率、中医类别执业医师占执业医师比例、中医处方占处方数比例分别为82.53%、42.35%、41.28%。结论:医改后,县级中医类医院资源总量保持更快的增长速度,但发展规模仍需作进一步科学规划与调整;县级中医类医院运营能力显著提高,但收入结构仍需进一步优化;急诊服务占比仍然较低,需要提高县级中医类医院急救能力;县级中医类医院中医药特色建设需要进一步加强。
Objective:Comparative analysis of the development status and trend of the total resources,operational services,and TCM diagnosis and treatment of county-level TCM hospitals in my country before and after the medical reform,providing theoretical and policy references for the development of county-level TCM hospitals.Methods:Descriptive analysis and comparative analysis were carried out using relevant index data of countylevel Chinese medicine hospitals across the country from 2002 to 2018.Results:Before the medical reform,the average annual growth rates of the number of institutions,the number of beds,total income,total expenditure,and the number of outpatient and emergency visits in county-level TCM hospitals nationwide from 2002 to 2008 were 0.35%,5.16%,18.35%,18.37%,and 4.35%,respectively,And the 2008-2018 data after the medical reform were 2.36%,10.17%,14.81%,15.07%,3.71%;in 2018,the bed utilization rate,the proportion of Chinese medicine practitioners in the number of practicing physicians,and the proportion of Chinese medicine prescriptions in the number of prescriptions were respectively 82.53%,42.35%,41.28%.Conclusion:After the medical reform,the total resources of county-level traditional Chinese medicine hospitals have maintained a faster growth rate,but the scale of development still needs to be further scientifically planned and adjusted;the operating capacity of county-level traditional Chinese medicine hospitals has been significantly improved,but the income structure still needs to be further optimized;emergency services The proportion is still low,and the emergency capacity of county-level TCM hospitals needs to be improved;the construction of TCM characteristics in county-level TCM hospitals needs to be further strengthened.
作者
贺楠
然娜·阿哈提
罗鲜
杨子
张欣雨
姜晴
李瑞锋
HE Nan;Ranna AHaTI;LUO Xian;YANG Zi;ZHANG Xinyu;JIANG Qing;LI Ruifeng(Beijing University of Traditional Chinese Medicine,Beijing,100029,PRC)
出处
《中国医院》
北大核心
2022年第4期22-25,共4页
Chinese Hospitals
基金
国务院第四次全国经济普查领导小组办公室委托课题“医疗服务和健康服务业现状及发展趋势研究”(JJPCZB44)。
关键词
县级医院
中医类医院
中医药
county hospital
Traditional Chinese Medicine hospital
Traditional Chinese Medicine
