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目的:县域卫生服务规划是县域卫生改革中非常重要的环节,规划过程涉及许多专业化的问题,如床位数总量的设置以及比例的分配等。为解决这些问题,需要寻找可行,易操作的方法。方法:运用运筹学线性规划的理论和方法,判断资源总量是否能够满足需求,并进一步探索卫生资源在县、乡、村三级分配的问题。结果:(1)用运筹学线性规划法能够有效的判断县-乡两级床位数设置总量及比例是否合适;(2)线性规划来分配资预算模型还存在一些缺陷。盲目追求机构规模的扩张、床位数的扩张是现阶段卫生事业发展观的一个现象,线性规划法能够有效地帮助判断这些资源的配置是否真的不足还是过剩,并且这一方法还可以推广到城市地区,用于监测卫生资源是否存在过度扩张。
Objective: The county health service planning is a very important link in the county health reform. The planning process involves many specialized issues, such as the setting of the total number of beds and the distribution of proportions. To solve these problems, we need to find feasible and easy-to-use methods. Methods: By using the theories and methods of ORP, we can judge whether the total amount of resources can meet the demand, and further explore the distribution of health resources at the county, township and village levels. Results: (1) The linear programming method of operations research can effectively determine whether the total number of beds in the county-township level setting is appropriate; (2) there are still some shortcomings in the linear programming to allocate the capital budget model. Blind pursuit of the expansion of institutional scale, the expansion of the number of beds is the current concept of health development, a phenomenon, the linear programming approach can effectively help determine the allocation of these resources is really inadequate or excess, and this method can be extended to cities Area to monitor the over-expansion of health resources.