摘要
目的探讨2007—2018年珠三角9所大型中医院的综合服务能力。方法收集相关数据,分别从基础设施、人力资源、医疗服务及科研建设4个维度,采用描述性统计方法和加权秩和比法,对2007—2018年珠三角9所大型中医院的综合服务能力发展状况进行综合评价。结果2007—2018年,珠三角9所大型中医院的各项基础设施指标、中医执业(助理)医师数占执业(助理)医师总数比例、中药师(士)数占药师(士)总数比例的年均增长率均为正值,管理人员数占职工总数比例、床位数与全院护士数比值、执业(助理)医师数与全院护士数比值的年均增长率均为负值,总诊疗人次、健康检查人次、入院人次、病床使用率、平均每诊疗人次费用、平均每出院者费用均呈增长趋势,平均住院日和病死率呈下降趋势,同时学术期刊论文数持续增长。9所大型中医院中,共5所大型中医院的综合服务能力提升大或较大。结论2007—2018年,珠三角9所大型中医院综合服务能力呈现稳步发展趋势,但各中医院资源分布不均衡,综合服务能力及发展水平差距较大。珠三角大型中医院应把握机会,合理扩容、提质、增效,从而更好地满足人民群众对中医药服务的需求。
Objective To explore the comprehensive service capacity of nine large hospitals of Traditional Chinese Medicine in the Pearl River Delta from 2007 to 2018.Methods The relevant data were collected,and descriptive statistics and weighted rank-sum ratio methods were used to comprehensively evaluate the development of comprehensive service capacity of 9 large hospitals of Traditional Chinese Medicine in the Pearl River Delta from 2007 to 2018 from the four dimensions of infrastructure,human resources,medical services,and scientific research construction.Results From 2007 to 2018,the average annual growth rates in various infrastructure indices,the proportion of the number of certified(assistant)Traditional Chinese Medicine physicians in total number of certified(assistant)physicians,and the proportion of the number of certified(assistant)Traditional Chinese Medicine pharmacists in total number of certified(assistant)pharmacists were positive,and the average annual growth rates in the proportion of the number of administrative staffs in total number of staffs,the ratio of the number of beds to the number of nurses in the hospital,and the ratio of the number of certified(assistant)physicians to the number of nurses in the hospital were negative.The total person-time of hospital visits,person-time of health examinations,person-time of admissions,bed utilization rate,average cost of person-time of hospital visit and average cost per outpatients exhibited an increasing trend,while the average length of hospital stay and mortality interpreted a decreasing trend.At the same time,the number of academic journal papers continued to grow.Among the 9 large hospitals of Traditional Chinese Medicine,a total of 5 large hospitals of Traditional Chinese Medicine had greatly or favorably improved their comprehensive service capacity.Conclusion From 2007 to 2018,the comprehensive service capacity of the 9 large hospitals of Traditional Chinese Medicine in the Pearl River Delta presents a steady development trend;however,the distribution of resources in various hospitals of Traditional Chinese Medicine is unbalanced,and the comprehensive service capacity and development level are significantly different.The nine large hospitals of Traditional Chinese Medicine in the Pearl River Delta should seize the opportunity to expand capacity,improve quality,and increase efficiency reasonably,so as to preferably meet the people′s needs for services of Traditional Chinese Medicine.
作者
庞震苗
黎亭均
易颖
PANG Zhenmiao;LI Tingjun;YI Ying(School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou 510006,Guangdong,China)
出处
《广西医学》
CAS
2023年第3期322-326,332,共6页
Guangxi Medical Journal
基金
广东省哲学社会科学规划项目(GD19CGL25)
广东省中医药局科研项目(20204002)。
关键词
中医院
综合服务能力
珠三角
加权秩和比
Hospital of Traditional Chinese Medicine
Comprehensive service capability
Pearl River Delta
Weighted rank-sum ratio
作者简介
第一作者:庞震苗,博士,教授,研究方向:中医药政策、女性健康和卫生事业管理;通信作者:易颖,硕士,讲师,研究方向:卫生事业管理和卫生统计学。
