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目的掌握卫生服务能力建设工程实施以来江西省县级综合医院服务能力建设进展情况,为今后进一步加强县级综合医院的标准化建设提供理论依据。方法采用普查办法,分别对县级综合医院进行2007年基线数据及2010年终期数据调查,内容包括县级综合医院的房屋、设备和服务功能等情况。结果县级综合医院2010年的平均房屋建筑面积、平均每院医疗设备台件数、平均每院设备总价值为26 653.50 m2、446.69台件、2 041.67万元,分别比2007年底的数据提高21.86%、51.27%和35.08%。县级综合医院2010年病床使用率、治愈率为92.71%、92.79%,分别比2007年提高19.44%、1.53%;2010年平均每院次均门诊费用、次均住院费用为111.05元、2 507.80元,分别比2007年提高22.07%、25.07%;2010年平均每院年门诊人次数为113 279.10人次,比2007年下降6.58%。结论县级综合医院的基础设施建设成效显著,医疗服务技术水平和质量也有较大提高,但必须持续加强县级综合医院服务能力建设,提升服务水平。
Objective To grasp the progress of service capability construction of county-level general hospitals in Jiangxi Province since the implementation of the capacity building of health services, so as to provide a theoretical basis for further strengthening the standardization of county-level general hospitals in the future. Methods According to the method of general survey, the baseline data of 2007 and the end of 2010 data of county general hospitals were surveyed respectively, including the functions of housing, equipment and services of county-level general hospitals. Results The average building area and the number of medical equipment per hospital in 2010 in the county general hospital averaged 26 653.50 m2,446.69 units and 20.04167 million yuan respectively, up 21.86% from the data at the end of 2007, , 51.27% and 35.08% respectively. The utilization rate of hospital beds in county-level general hospitals in 2010 was 92.71% and 92.79%, respectively, up by 19.44% and 1.53% respectively compared with that in 2007. The average outpatient cost per hospital in 2010 was 111.05 yuan and the average hospitalization cost was 2 507.80 Yuan respectively, up 22.07% and 25.07% respectively over 2007; the average number of outpatients per hospital in 2010 was 113,279.10, down 6.58% from 2007. Conclusion The construction of county-level general hospitals has achieved remarkable results in infrastructure construction. The technical level and quality of medical services have also been greatly improved. However, it is imperative to continuously enhance the service capacity of county-level general hospitals and improve the service level.