九五期间湖北省乡镇卫生院卫生资源利用状况分析

目的 了解“九五”期间湖北省乡镇卫生院卫生资源利用状况，为更好地促进农村卫生资源的合理利用提供基础资料。方法 收集1990年和1996～2000年的《湖北卫生统计》、《湖北年鉴》，用SPSS软件进行统计分析。结果 “九五”期间湖北省乡镇卫生院人力资源和固定资产不断增加，但业务工作量却逐年下降。每年卫生院平均门诊诊疗、出院人数平均下降速度分别为4．42％和4．09％。卫生技术人员门诊工作及住院工作效率也呈下降趋势，2000年卫技人员人均年门诊诊疗人次数及年住院床日数和年出院人数较1996年分别减少了27．54％、30．22％和26．36％。每年病床使用率在30％左右，病床周转次数约20次，且有下降趋势。讨论 “九五”期间湖北省乡镇卫生院卫生资源投入增加，但是利用率下降。建议应推行和完善乡村“一体化”管理，有效利用卫生资源，深化卫生院改革和内部管理；重视和提高农村卫生人员的素质和水平；发展和完善农村合作医疗保健制度。

Utilization of health resources by rural public health centers in Hubei Province in the Ninth Five-Year Plan period

Objective To find out about the utilization of health resources by rural pulic health centers in Hubei Province in the Ninth Five-Year Plan period so as to provide primary information for the better use of rural health resources. Methods The issues of Hubei Health Statistics and Hubei Almanac in 1990 and from 1996 to 2000 were collected and statistial analyses were conducted by means of the spss software. Results In the Ninth Five-Year Plan period, the human resources and fixed assets of rural public health centers in Hubei Province kept increasing whereas the volume of services dropped year by year. The reduction in the average number of outpatient visits and discharged patients per annum was respectively 4. 42% and 4. 09%. The efficiency of the health personnel in delivering medical services has been decreasing, with the average number of patients treated by each person per annum, the annual number of beds utilized, and the annual number of discharged patients in 2000 dropping respectively by 27.54% , 30.22% and 26.36% , as compared with 1996. The annual ratio of bed utilization was around 30% and the number of bed turnovers was about 20 times, evidencing, moreover, a tendency of going down. Conclusion The input of health resources in the rural public health centers in Hubei Province in the Ninth Five-Year Plan period increased while the rate of utilization dropped. It is suggested that integrated management in the rural areas be adopted, better utilization of health resources made, reform of the public health centers deepened, and internal management improved; greater stress be laid on improving the quality of rural health personnel; and the rural cooperative medical and health system be perfected.