CAJ | 학술논문

目的：通过对湖北省社区卫生服务机构2012-2013年运行状况和资源利用效率等进行描述，分析其发展过程中存在的问题。方法对2012-2013年间的社区卫生服务机构的资产负债、收入支出、基本数字等进行描述性分析。结果湖北省社区卫生服务机构总收入呈现出不稳定的下降趋势，且来源于财政收入比例增长幅度较小；总诊疗人次数和出院人数的增长幅度不大；医生工作负荷相对低于全省医疗机构的平均水平；病床使用率出现下降趋势；资产负债率居高不下，门诊和住院人均诊疗费用处于较低水平。结论各级政府应进一步加大社区卫生服务投入，建立稳定的社区卫生服务筹资和投入机制，完善双向转诊制度，社区卫生服务机构要加强自身服务能力建设，积极开展适宜性的医疗保健特色服务。
목적：통과대호북성사구위생복무궤구2012-2013년운행상황화자원이용효솔등진행묘술，분석기발전과정중존재적문제。방법대2012-2013년간적사구위생복무궤구적자산부채、수입지출、기본수자등진행묘술성분석。결과호북성사구위생복무궤구총수입정현출불은정적하강추세，차래원우재정수입비례증장폭도교소；총진료인차수화출원인수적증장폭도불대；의생공작부하상대저우전성의료궤구적평균수평；병상사용솔출현하강추세；자산부채솔거고불하，문진화주원인균진료비용처우교저수평。결론각급정부응진일보가대사구위생복무투입，건립은정적사구위생복무주자화투입궤제，완선쌍향전진제도，사구위생복무궤구요가강자신복무능력건설，적겁개전괄의성적의료보건특색복무。
Objectives Describe the status and the utilize ratio of resources of the community health service (CHS)institutions in Hubei during 2012-2013,and analyze the problems of the process of development.Methods Descriptive analysis was applied for the CHS institutions during 2012 -2013 on aspects of assets and liabilities, income,expenditure,and the basic digital service.Results In the CHS institutions in Hubei Province,there was a instable downward trend of total income and the extent of proportion of income from the government was lower.The de-gree of increasing the clinic number of people and discharges was also not very high.The workload of doctors was lower than the provincial average;the bed occupancy was declining;the asset-liability ratio was in high situation while the fee of clinics and discharges per person was low.Conclusions Every level of government should further increase the investment to the CHS institutions.We should establish the stable financing and investment mechanism of the CHS institutions;we should improve the two-way referral system;last but not the least,the CHS institutions should strengthen the self establishment of service capabilities and actively develop appropriate medical care special services.