摘要
目的:分析2011—2020年天津市中医医院床位配置状况及其存在的问题,预测“十四五”时期天津市中医医院床位配置的公平性和效率发展程度,为天津市中医医院床位优化配置提供参考。方法:采用描述性分析方法研究天津市中医医院床位配置的基本状况,利用差别指数分析天津市中医医院床位配置公平性,采用归一法评价天津市中医医院床位配置效率,通过灰色GM(1,1)模型预测2021—2025年天津市中医医院床位配置的基本情况、公平性和效率。结果:2011—2020年天津市中医医院床位增长约70.144%;按人口和地理分布的差别指数逐年上升,按GDP分布的差别指数逐年下降,2020年按人口、按地理和按GDP分布的差别指数分别为0.363、0.641和0.424;床位效率指数也逐年降低且始终处于低效率状态,2020年床位效率指数为0.532;预测2025年天津市中医医院床位按人口、按地理和按GDP分布的差别指数分别为0.469、0.715和0.382。结论:天津市中医医院床位过度集中于市内六区,配置公平性和效率连年下降并有进一步扩大的趋势,卫生技术人员数量不能满足床位增长的需要。应通过区域统筹规划、加强中医药卫生技术人员队伍建设、转变中医医院床位发展模式等多种方式实现科学化、集约化发展。
Objective:To analyze the situation and problem of bed allocation in Tianjin Traditional Chinese Medicine(TCM)Hospital from 2011 to 2020,predict the fairness and efficiency development level of bed allocation in Tianjin TCM Hospital during the"Fourteenth Five Year Plan"period,and provide reference for the optimal allocation of beds in Tianjin TCM Hospital.Methods:Descriptive analysis method was used to study the basic situation of bed allocation in Tianjin TCM Hospital.Difference index was used to analyze the fairness of bed allocation in Tianjin TCM Hospital.Normalization method was used to evaluate the efficiency of bed allocation in Tianjin TCM Hospital.Grey GM(1,1)model was used to predict the basic situation,fairness and efficiency of bed allocation in Tianjin TCM Hospital from 2021 to 2025.Results:From 2011 to 2020,the number of beds in Tianjin TCM hospitals increased by approximately 70.144%.The difference index according to population and geographical distribution has been increasing year by year,while the difference index according to GDP distribution has been decreasing year by year.In 2020,the difference index according to population,geography and GDP were 0.363,0.641 and 0.424 respectively.The bed efficiency index has also been decreasing year by year and has always been in a low efficiency state.In 2020,the bed efficiency index was 0.532.It is predicted that the difference indexes of beds in Tianjin TCM hospitals by population,geography and GDP in 2025 will be 0.469,0.715 and 0.382 respectively.Conclusion:The beds of Tianjin TCM hospitals are excessively concentrated in the six districts of the city.The fairness and efficiency of the allocation have declined year after year and have a trend of further expansion.The number of health technical personnel cannot meet the needs of the increase of beds.Scientific and intensive development should be achieved through various methods such as regional overall planning,strengthening the construction of TCM healthcare technical personnel,and transforming the development model of TCM hospital beds.
作者
孙艺扬
陶俊良
何宁
SUN Yiyang;TAO Junliang;HE Ning(School of Management,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《中医药导报》
2023年第11期210-214,共5页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
天津市哲学社会科学规划项目(TJSSZX20)
天津市研究生科研创新项目(2022SKY242)
天津中医药大学研究生科研创新项目(YJSKC-20221038)
天津中医药大学大学生科技创新基金项目(tw2023KCZX07,tw2023KCZX08)。
关键词
天津
中医医院床位配置
“十四五”
区域统筹规划
发展模式
趋势预测
效率
公平性
Tianjin
traditional Chinese medicine hospital bed allocation
"Fourteenth Five Year Plan"
regional overall planning
development model
trend forecast
efficiency
fairness
