中国卫生资源
中國衛生資源
중국위생자원
CHINESE HEALTH RESOURCES
2014年
1期
29-32
,共4页
周益众%王伟%裴益玲%赵新平%陈英耀%何雪松%李力达%曹晓红
週益衆%王偉%裴益玲%趙新平%陳英耀%何雪鬆%李力達%曹曉紅
주익음%왕위%배익령%조신평%진영요%하설송%리력체%조효홍
医院病床%儿科%床位配置%床位使用率
醫院病床%兒科%床位配置%床位使用率
의원병상%인과%상위배치%상위사용솔
hospital beds%pediatrics%allocation of beds%bed occupancy
目的：掌握上海市儿科床位资源配置与利用现状，剖析存在的问题及原因，提出对策和建议。方法：采用问卷调查的方法，对2011年初上海所有设住院床位的医疗机构进行调查，对其中在2008-2010年间实际开放儿科床位的医疗机构，对其儿科床位的配置和利用情况进行调查分析。结果：上海实际开设儿科床位的医疗机构数有所减少，2010年为70家；全市儿科床位主要集中在儿童专科医院，占全市儿科床位总数的近50%，三级综合医院的儿科实际开放床位数逐年减少；约50%的儿科床位分布在中心城区；儿童专科医院的儿科床位使用率较高，3年累计值达到101.17%，而民营医疗机构的儿科床位利用率仅为29.43%。结论：三级综合医院实际开放儿科床位的数量呈萎缩态势，近郊区儿科床位配置总量显不足，儿童专科医院的床位利用效率趋于饱和，民营医疗机构儿科床位闲置状况严重；建议制定儿科医疗服务体系建设发展规划，加大对儿科住院医疗服务体系的投入，构筑分工合作的儿科诊疗格局，大力培育儿科专业人才队伍。
目的：掌握上海市兒科床位資源配置與利用現狀，剖析存在的問題及原因，提齣對策和建議。方法：採用問捲調查的方法，對2011年初上海所有設住院床位的醫療機構進行調查，對其中在2008-2010年間實際開放兒科床位的醫療機構，對其兒科床位的配置和利用情況進行調查分析。結果：上海實際開設兒科床位的醫療機構數有所減少，2010年為70傢；全市兒科床位主要集中在兒童專科醫院，佔全市兒科床位總數的近50%，三級綜閤醫院的兒科實際開放床位數逐年減少；約50%的兒科床位分佈在中心城區；兒童專科醫院的兒科床位使用率較高，3年纍計值達到101.17%，而民營醫療機構的兒科床位利用率僅為29.43%。結論：三級綜閤醫院實際開放兒科床位的數量呈萎縮態勢，近郊區兒科床位配置總量顯不足，兒童專科醫院的床位利用效率趨于飽和，民營醫療機構兒科床位閒置狀況嚴重；建議製定兒科醫療服務體繫建設髮展規劃，加大對兒科住院醫療服務體繫的投入，構築分工閤作的兒科診療格跼，大力培育兒科專業人纔隊伍。
목적：장악상해시인과상위자원배치여이용현상，부석존재적문제급원인，제출대책화건의。방법：채용문권조사적방법，대2011년초상해소유설주원상위적의료궤구진행조사，대기중재2008-2010년간실제개방인과상위적의료궤구，대기인과상위적배치화이용정황진행조사분석。결과：상해실제개설인과상위적의료궤구수유소감소，2010년위70가；전시인과상위주요집중재인동전과의원，점전시인과상위총수적근50%，삼급종합의원적인과실제개방상위수축년감소；약50%적인과상위분포재중심성구；인동전과의원적인과상위사용솔교고，3년루계치체도101.17%，이민영의료궤구적인과상위이용솔부위29.43%。결론：삼급종합의원실제개방인과상위적수량정위축태세，근교구인과상위배치총량현불족，인동전과의원적상위이용효솔추우포화，민영의료궤구인과상위한치상황엄중；건의제정인과의료복무체계건설발전규화，가대대인과주원의료복무체계적투입，구축분공합작적인과진료격국，대력배육인과전업인재대오。
Objective:To analyze the status quo and problems of pediatric beds allocation and utilization in Shanghai,and to put forward suggestions for improvement. Methods:All hospitals providing inpatient services in Shanghai were surveyed with a questionnaire containing quantity and utilization of pediatric beds between 2008 and 2010. Results:Seventy hospitals were equipped with inpatient beds for children in 2010. The pediatric beds in children’s hospitals presented a highest concentration,while the number of beds in comprehensive tertiary hospitals revealed a decreasing trend from 2008 to 2010. About 50% pediatric beds were allocated in downtown area. The utilization rate of pediatric beds in children’s hospitals and was much lower in private hospitals. Conclusion:The number of pediatric beds in comprehensive hospitals revealed a decreasing trend. The allocation of beds is relatively insufficient in suburb. The utilization rate of beds in children’s hospitals tended to saturation;while in private hospitals,the pediatric beds were lying idle. It is suggested that local governments should formulate the development plan of medical care for children,strengthen the investment in inpatient services of pediatrics,improve the allocation of pediatric beds and cooperation among different level hospitals,and enhance the training for pediatric professionals.
