我国县级中医医院床位利用效率评价研究*

目的：分析我国县级中医医院的床位利用效率，为县级中医医院床位资源合理配置提供参考，推动县级中医医院合理建设，促进乡村医疗卫生体系健康发展。方法：利用秩和比法和床位利用模型对2019年全国不同床位规模的县级中医医院床位利用效率进行分析。结果：秩和比法分档结果显示，500~799床规模的县级中医医院位于上等，其余床位规模均位于中等；床位利用模型分析结果显示，300床以下规模的县级中医医院为床位闲置型，800~999床规模为压床型，300~499 床、500~799床、1 000~1 500床规模为床位效率型。结论：（1） 县级中医医院总体床位利用效率有待提升；（2） 300~499 床县级中医医院床位利用效率较好，有利于拓展县域中医医疗体系服务功能；（3） 300床以下县级中医医院床位利用效率较低，亟需各级政府加大关注。

Evaluation on the Bed Utilization Efficiency in County-level Traditional Chinese Medicine Hospitals in China

Objective: To understand and analyze the bed utilization efficiency of county level Traditional Chinese Medicine (TCM) hospitals in China, so as to provide references for the rational allocation of bed resources in TCM hospitals. Methods: The rank sum ratio method and the bed utilization model were used to analyze the bed utilization efficiency of county level TCM hospitals in China with different bed sizes in 2019. Results: The results of rank sum ratio method showed that the county level TCM hospitals with a size of 500-799 beds were located in the top class, while the rest of the beds were located in the middle class. The results of the bed utilization model show that county-level TCM hospitals with a size of less than 300 beds are of the idle type, with a size of 800-999 beds being of the press type, and with a size of 300-499, 500-799, and 1000-1500 beds being of the bed efficiency type. Conclusion: (1) The overall bed utilization efficiency of county level TCM hospitals needs to be improved. (2) The utilization efficien- cy of 300-499 beds in county level TCM hospitals is good, which is conducive to expanding the service functions of the county-level Chinese medicine medical system. (3) The utilization efficiency of beds in county-level TCM hospitals with fewer than 300 beds is relatively low, which urgently requires greater attention from governments.