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目的了解吉林省县级综合医院卫生服务现状,分析存在的问题及影响因素,并提出政策建议。方法查阅吉林省卫生统计年报表,结合实地调查,对数据进行描述性分析及定量对比分析。结果吉林省县级综合医院2011年总建筑面积、业务用房面积、平均实际开放床位、万元以上仪器设备分别较2010年增长6.65%、6.79%、0.77%和8.41%,有37.93%的医院床均建筑面积未达标准;2011年医护比为1:0.98,较2010的1:0.83有所提高,进修半年以上人员比例为6.05%,较2010年的9.20%有所下降;2011年建立信息系统的医院比例为6.45%,与2010年相同;2011年总诊疗人数、人均诊疗、门诊、住院花费分别较2010年增长6.24%、12.44%、8.84%和4.89%,有78.16%的医院病床使用率未达标准。结论吉林省县级综合医院在基础设施建设、医护人员配置、医疗服务等方面有了很大程度改善,但还存在卫生资源利用不足、人员进修培训率低、信息化建设不理想等问题。
Objective To understand the current situation of health services in county-level general hospitals in Jilin Province, analyze the existing problems and influencing factors, and put forward policy recommendations. Methods To consult the annual report of health statistics in Jilin Province and carry out descriptive analysis and quantitative comparative analysis on the data with field investigation. Results In 2011, the total construction area, the area of commercial buildings, the average actual open bed area, and the equipment and instruments of more than ten thousand yuan in Jilin Province increased by 6.65%, 6.79%, 0.77% and 8.41% respectively compared with 2010, and 37.93% of hospitals The average floor area of the hospital was below the standard. The ratio of health care to health was 1: 0.98 in 2011, an increase from 1: 0.83 in 2010, and the proportion of staff who studied for more than half a year was 6.05%, down from 9.20% in 2010; The system’s hospital ratio was 6.45%, same as in 2010; the total number of medical treatment, per capita medical treatment, outpatient service and inpatient expense increased by 6.24%, 12.44%, 8.84% and 4.89% respectively in 2011 and 78.16% in the hospital beds Rate is below the standard. Conclusion The county-level general hospitals in Jilin Province have been greatly improved in terms of infrastructure construction, medical staffing and medical services. However, there are still some problems such as insufficient utilization of health resources, low training rate of personnel training and unsatisfactory information construction.