[1]王成李瑞锋鄢锴灵马爽.基于医疗资源与医疗服务对比的中医医院高质量发展研究[J].中国卫生质量管理,2023,30(11):001-6.[doi:10.13912/j.cnki.chqm.2023.30.11.01 ]
　WANG Cheng,LI Ruifeng,YAN Kailing.High-Quality Development of Traditional Chinese Medicine Hospitals Based on the Comparison of Medical Resources and Medical Services[J].Chinese Health Quality Management,2023,30(11):001-6.[doi:10.13912/j.cnki.chqm.2023.30.11.01 ]
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基于医疗资源与医疗服务对比的中医医院高质量发展研究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年11期
页码:
001-6
栏目:
特别关注
出版日期:
2023-11-15

文章信息/Info

Title:
High-Quality Development of Traditional Chinese Medicine Hospitals Based on the Comparison of Medical Resources and Medical Services
作者:
王成李瑞锋鄢锴灵马爽
北京中医药大学管理学院
Author(s):
WANG Cheng; LI Ruifeng; YAN Kailing
School of Management, Beijing University of Chinese Medicine
关键词:
中医医院; 医疗资源; 医疗服务; 高质量发展
Keywords:
Traditional Chinese Medicine Hospital;  Medical Resources;  Medical Service; High-Quality Development
分类号:
R197.4
DOI:
10.13912/j.cnki.chqm.2023.30.11.01
文献标志码:
A
摘要:
目的了解2011年-2021年我国中医医院的医疗资源配置与医疗服务提供情况，并与同期全国医院相关指标比较，为促进中医医院高质量发展提供参考。 方法从《中国卫生健康统计年鉴》和《全国中医药统计摘编》提取2011年-2021年医疗资源、医疗服务、经济运行、医师工作效率相关指标数据，采用构成比、增长速度、年均增长率等指标进行描述性统计分析。结果在医疗资源方面，我国中医医院的机构数、卫生技术人员数、平均开放病床数均逐年递增，且卫生技术人员数、平均开放病床数的年均增长率均高于全国医院。在医疗服务方面，除受新冠疫情影响的2020年和2021年外，2011年-2019年中医医院门急诊人次以及出院人数均呈持续增长趋势，门急诊人次年均增长率低于全国医院，出院人数增速明显高于全国医院，病床使用率降速低于全国医院且与全国医院差距逐步缩小，中医处方占门诊处方比例呈增长趋势。在经济运行方面，中医医院总收入、总支出均呈逐年增长趋势且年均增长率均略高于全国医院，各年份门诊患者和住院患者次均医药费用均低于全国医院。在医师工作效率方面，中医医院医师人均全年担负诊疗人次和住院床日均呈“先升后降”趋势，且各年份医师人均全年担负诊疗人次均高于全国医院，担负住院床日均低于全国医院，医师人均年业务收入均低于全国医院。结论中医医院医疗资源整体扩容，医疗服务能力不断增强，经济运行情况良好，但高质量发展基础相对薄弱，门诊服务发展相对缓慢，未来需完善中医药卫生资源配置，充分发挥中医门诊服务优势，关注中医药服务价格调整和医师业务收入。
Abstract:
ObjectiveTo understand the medical resource allocation and medical service provision of Traditional Chinese Medicine (TCM) hospitals from 2011 to 2021, and to compare with the relevant indicators of hospitals in the same period, so as to provide reference for promoting the high-quality development of hospitals.MethodsData related to medical resources, medical services, economic operation and doctors' work efficiency during 2011-2021 were extracted from China Health Statistical Yearbook and National Statistical Extracts of TCM, and descriptive statistical analysis was conducted by means of composition ratio, growth rate and average annual growth rate.ResultsIn terms of medical resources, the number of institutions, the number of health technicians and the average number of open beds in TCM hospitals increased year by year, and the average annual growth rate of the number of health technicians and the average number of open beds was higher than that of the national hospitals. In terms of medical services, except for 2020 and 2021, which were affected by the epidemic, the number of outpatient and emergency patients and the number of discharged patients in TCM hospitals from 2011 to 2019 showed a continuous growth trend. The average annual growth rate of outpatient and emergency patients was lower than that of national hospitals, and the growth rate of discharged patients was significantly higher than that of national hospitals. The rate of hospital bed utilization was lower than that of national hospitals and the gap with national hospitals was narrowing gradually. The proportion of TCM prescriptions in outpatient prescriptions showed an increasing trend. In terms of economic operation, the total income and total expenditure of TCM hospitals had shown an annual growth trend and the average annual growth rate was slightly higher than that of national hospitals, and the average medical expenses of outpatients and inpatients in each year were lower than that of national hospitals. In terms of doctors' work efficiency, the annual number of consultations and inpatient bed days per capita of doctors in TCM hospitals showed a trend of "first increase and then decrease", and the annual number of consultations and inpatient bed days per capita of doctors in all years were higher than that of national hospitals, and the annual business income per capita of doctors was lower than that of national hospitals. Conclusion The overall medical resources of TCM hospitals are expanded, the medical service capacity is continuously enhanced, and the economic operation is good, but the high-quality development foundation is relatively weak, and the development of outpatient services is relatively slow. In the future, it is necessary to improve the allocation of TCM health resources, give full play to the advantages of TCM outpatient services, and pay attention to the adjustment of TCM service prices and the business income of doctor.

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更新日期/Last Update: 2023-11-15