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| 投稿时间： 2015-11-02 最后修改时间： 2016-02-03 摘要点击次数: 2712 全文下载次数: 1580 |
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| 引用本文：杨婷, 王芳, 宋莉,等.“全面二孩”政策下产科床位需求与缺口测算[J].中国卫生政策研究,2016,9(2):59-64 |
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| 杨婷1,2, 王芳2, 宋莉3, 庄宁3, 裘洁3, 王亮3, 宋秋霞1,2, 吕剑楠1,2, 丁雪2, 姚楠2 |
1. 北京协和医学院 北京 100730;
2. 中国医学科学院医学信息研究所卫生政策与管理研究中心 北京 100020;
3. 国家卫生和计划生育委员会 北京 100044 |
| 基金项目:联合国儿童基金会项目 |
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| | 摘要:"全面二孩"政策实施后,我国出生人口数量将进一步增加,产科床位资源面临挑战。本文基于出生人口的变化情况,采用卫生服务需求法对产科床位资源配置需求与缺口进行测算。结果显示,2016-2020年需再新增配置73478~99004张产科床位才能满足服务需求,建议配置的产科床位主要向中、东部地区倾斜,同时适当调整床位在不同级别、类别助产机构的比例,并完善分级诊疗机制,从而缓解北京、上海等大城市的产科接诊压力。 | |
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关键词:全面二孩 产科床位 卫生服务需求法
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| The maternity beds demands and gaps under the universal two-child policy |
| YANG Ting1,2, WANG Fang2, SONG Li3, ZHUANG Ning3, QIU Jie3, WANG Liang3, SONG Qiu-xia1,2, LV Jian-nan1,2, DING Xue2, YAO Nan2 |
1. Peking Union Medical College, Beijing 100730, China;
2. Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
3. National Health and Family Planning Commission, Beijing 100044, China |
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| | Abstract:With the universal two-child policy implementation, the birth rate increased, posing challenges to the maternity beds resource allocation. Based on the birth rate and the method of health service demand, we calculated the maternity beds demands and gaps during the period from 2016 to 2020. Results showed that numbers between 73478 and 99004 of maternity beds are needed annually and mainly allocated to eastern and central areas as well. In addition, the maternity beds of different delivery institutions should be adjusted and the hierarchical diagnosis system should be improved in order to alleviate the pressure of the obstestric acceepts in big cities like Beijing and Shanghai. | |
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