摘要
[目的]分析近10年来我国儿科资源配置和医疗服务供给的现状、发展趋势及存在的问题,为推动我国“十四五”期间儿科医疗服务体系建设提供决策参考。[方法]基于2011-2021年《中国卫生健康统计年鉴》中的关于儿科资源配置与服务供给相关面板数据,从资源配置、服务供给和工作负荷3个维度,纵向采用动态数列进行趋势分析,对不同类型机构、不同专科、不同地区进行横向比较分析。[结果]2020年,我国儿科执业(助理)医师、每千名儿童执业(助理)医师数、儿科床位数、每千名儿童拥有儿科床位数分别达到16.34万人、0.64人、551,600张、2.17张。儿科门急诊人次数、出院人数均在2019年达到峰值54,258.1万人次、2443.1万人。2020年儿科医师人均每日担负诊疗人次、人均每年担负出院人次分别降到8.95人次、103.46人。[结论]近10年来我国儿科资源和服务供给总量呈增长趋势,但除儿科医师数以外,儿科床位数、门急诊人次、出院人次数“十三五”期间增长速度均明显低于“十二五”期间,但仍存在儿科医师与实际需求缺口较大、儿科床位总量不足与区域分布不均、儿科医师工作压力远高于同期其他专科医师等问题。
Objective To analyze the development trend,current situation and problems of pediatric resource allocation and medical service supply in China in the past ten years,so as to provide decision reference for promoting the construction of pediatric medical service system during the period of the“14th Five-Year Plan”.Methods Based on relevant panel data of“China Health Statistics Yearbook”from 2011 to 2021 with regard to pediatric resource allocation and medical service supply.From three dimensions of resource allocation,service supply and workload,the longitudinal dynamic series was used for trend analysis and horizontal comparison analysis for different types of institutions,specialties and regions.Results In 2020,the number of pediatric practicing(assistant)doctors,pediatric practicing(assistant)doctors per 1000 children,pediatric beds and pediatric beds per 1000 children reached 1630400,0.64,551600 and 2.17,respectively.The number of person-time of pediatric outpatient and emergency patients in 2020 and the number of discharged patients both reached a peak of 542.581 million and 24.431 million in 2019.The person-time of daily diagnosis and discharged patients every year of paediatrician per capita was reduced to 8.95 and 103.46,respectively.Conclusions The total amount of pediatric resources and service supply in China has been increasing in the past ten years.However,in addition to pediatricians,the growth rate of pediatric beds,person-time of outpatient and emergency,person-time of discharged patients during the the period of the“13th Five-Year Plan”is significant lower than those during the period of the“12th Five-Year Plan”.There is a large gap between pediatricians and actual needs,the total number of pediatric beds is insufficient and the regional distribution is uneven,and the work pressure of pediatricians is much higher than that of other specialists in the same period.
作者
史文欣
王晓东
刘志
景丽伟
殷璐
SHI Wen-xin;WANG Xiao-dong;LIU Zhi;JING Li-wei;YIN Lu(Huafan Second People's Hospital,Huai9an Jiangsu 223002,China;The Affiliated Cardiovascular Hospital of Qingdao University,Qingdao Shandong 266071,China;Health Development Research Center cf National Health Commission9 Beijing 100044,China;School of Nursing,Capital Medical University,Beijing 100054,China;Taizhou Clinical Medical School cf Nanjing Medical University/Taizhou People's Hospital,Taizhou Jiangsu 225300,China)
出处
《卫生软科学》
2022年第6期28-34,共7页
Soft Science of Health
基金
北京市社会科学基金重点项目(21SRA003)
江苏省医院协会医院管理创新专项研究课题(JSYGY-2021-JY26)。
关键词
儿科
资源配置
医疗服务供给
工作负荷
pediatric
resource allocation
medical service supply
workload
