引用本文:唐立健, 王长青, 钱东福.老龄化背景下社区卫生机构资源配置和服务供给研究——以江苏省为例[J].中国卫生政策研究,2020,13(2):33-39 |
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老龄化背景下社区卫生机构资源配置和服务供给研究——以江苏省为例 |
投稿时间:2019-09-24 修订日期:2020-01-20 PDF全文浏览 HTML全文浏览 |
唐立健1,2, 王长青1,2, 钱东福2 |
1. 南京中医药大学 江苏南京 210023; 2. 南京医科大学医政学院 江苏南京 211166 |
摘要:目的:分析江苏省社区卫生资源配置和服务提供情况,并提出老龄化背景下完善社区卫生机构资源配置和服务供给的对策。方法:应用描述性统计方法分析社区卫生资源配置和服务提供情况,采用TOPSIS法综合评估社区卫生机构服务能力。结果:江苏省社区卫生服务站数量偏少,平均服务城市人口约1.5万人;社区卫生服务中心床位数量增长幅度较大,但病床使用率低于60%;社区卫生人员配置不足,2018年社区卫生服务中心医护比例为1:0.81;诊疗人次和住院人数总体呈上升趋势。TOPSIS法综合评估结果显示,2017年社区卫生机构整体服务能力有很大提升(C=0.740)。结论:在老龄化背景下需进一步完善社区卫生机构资源配置和服务供给,如结合服务人口数量和分布合理设置社区卫生机构,重视卫生人才的培养,增设综合型老年病区,家庭医生与社区居家养老服务紧密结合,加强中医药特色服务的供给。 |
关键词:老龄化 社区卫生机构 卫生资源配置 卫生服务供给 |
基金项目:国家自然科学基金(71573139);江苏省社科应用研究精品工程课题(19SYC-093);健康江苏研究院政策研究项目(2017JKJS009Y) |
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Study on resource allocation and service provision of community health institutions under the background of aging: A case study of Jiangsu province |
TANG Li-jian1,2, WANG Chang-qing1,2, QIAN Dong-fu2 |
1. Nanjing University of Chinese Medicine, Nanjing Jiangsu 210023, China; 2. School of Health Policy and Management, Nanjing Medical University, Nanjing Jiangsu 211166, China |
Abstract:Objective: To analyze the resources allocation and service provision in community health institutions in Jiangsu Province, and propose the countermeasures to improve the operating system of healthcare under the background of aging. Methods: Descriptive statistics method was applied to analyze the resource allocation and service provision in community health institutions, and TOPSIS method was used to appraise the community healthcare institutions' service capability. Results: The community health service stations were deficient in Jiangsu province. On average, results showed that a single community health service station served approximately fifteen thousand people. The number of beds increased rapidly in community health service centers, but the bed utilization rate was less than 60%. The healthcare personnel were insufficient in community health institutions. The proportion between doctor and nurse was 1:0.81 in community health service centers in 2018, and the number of treatment and inpatient was generally experiencing an increasing trend. The comprehensive evaluation results of TOPSIS showed that the overall service capacity of community health institutions had been greatly improved during the year of 2017 (C=0.740). Conclusion: It is necessary to improve the resource allocation and service provision in community health institutions under the background of aging, such as setting up community health institutions taking into account the number and distribution of population to be served, attaching importance to the training of health personnel, setting up integrated geriatric ward, integrating family doctor service with community home-care closely, and strengthening the provision of traditional Chinese medicine characteristic services. |
Key words:Aging Community health institution Health resource allocation Health service provision |
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