老龄化背景下社区卫生机构资源配置和服务供给研究——以江苏省为例

目的:分析江苏省社区卫生资源配置和服务提供情况,并提出老龄化背景下完善社区卫生机构资源配置和服务供给的对策.方法:应用描述性统计方法分析社区卫生资源配置和服务提供情况,采用TOP-SIS法综合评估社区卫生机构服务能力.结果:江苏省社区卫生服务站数量偏少,平均服务城市人口约1.5万人;社区卫生服务中心床位数量增长幅度较大...

Study on resource allocation and service provision of community health institutions under the background of aging: A case study of Jiangsu province

Objective: To analyze the resources allocation and service provision in community health institutions in Jiangsu Province, and propose the countermeasures to improve the operating system of healthcare under the background of aging. Methods: Descriptive statistics method was applied to analyze the resource allocation and service provision in community health institutions, and TOPSIS method was used to appraise the community healthcare institutions'' service capability. Results: The community health service stations were deficient in Jiangsu province. On average, results showed that a single community health service station served approximately fifteen thousand people. The number of beds increased rapidly in community health service centers, but the bed utilization rate was less than 60%. The healthcare personnel were insufficient in community health institutions. The proportion between doctor and nurse was 1:0.81 in community health service centers in 2018, and the number of treatment and inpatient was generally experiencing an increasing trend. The comprehensive evaluation results of TOPSIS showed that the overall service capacity of community health institutions had been greatly improved during the year of 2017 (C=0.740). Conclusion: It is necessary to improve the resource allocation and service provision in community health institutions under the background of aging, such as setting up community health institutions taking into account the number and distribution of population to be served, attaching importance to the training of health personnel, setting up integrated geriatric ward, integrating family doctor service with community home-care closely, and strengthening the provision of traditional Chinese medicine characteristic services.