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| 投稿时间： 2015-12-08 最后修改时间： 2016-02-03 摘要点击次数: 3732 全文下载次数: 1581 |
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| 引用本文：宋秋霞, 王芳, 宋莉,等.“全面二孩”政策下儿科医生需求与缺口测算[J].中国卫生政策研究,2016,9(2):65-70 |
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| 宋秋霞1,2, 王芳2, 宋莉3, 庄宁3, 裘洁3, 王亮3, 杨婷1, 吕剑楠1, 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,我国出生人口数量增加,儿科医生短缺形势更加严峻。本文基于出生人口的变化情况,采用卫生服务需求法对儿科医生需求与缺口进行测算。结果显示,除北京、上海外,2016-2020年我国各地区儿科医生供需比均小于0.80,整体需再新增191981~198287名儿科医生才能满足服务需求。建议兼顾全国供需比与缺口情况,通过合理扩招、提高待遇等方式增加儿科医生,同时加强信息公开和宣传引导,完善分级诊疗机制,缓解大城市压力。 | |
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关键词:全面二孩 儿科医生 卫生服务需求法
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| The pediatrician demands and gaps under the universal two-child policy |
| SONG Qiu-xia1,2, WANG Fang2, SONG Li3, ZHUANG Ning3, QIU Jie3, WANG Liang3, YANG Ting1, LV Jian-nan1, 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 pediatrician allocation. Based on the birth rate, we calculated pediatrician demands and gaps during the period from 2016 to 2020 by the method of health service demand. The results showed that except Beijing and Shanghai, the pediatrician supply and demand ratios are less than 0.80 and additional numbers of pediatricians ranging from 191981 to 198287 are needed to meet the service demands. We recommend increasing the number of pediatricians taking both national supply-demand ratios and gaps by rationally using reasonable enrolment quota and improving the treatment and other reasonable ways to increase pediatricians. In addition, we should enhance information disclosure and guidance, and improve the hierarchical hospital visit system to alleviate the pressure of big cities. | |
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