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目的:了解昆山市社会办医机构的发展现状,并分析存在的问题。方法:以2012-2015年昆山市医疗机构常规统计信息为基础,结合定性访谈,分析昆山市社会办医机构的数量、卫生人员、床位数、服务量等的现状,以及存在的问题。结果:社会办医机构占全市医疗机构比例从2012年的58.13%增长至2015年的62.74%;医护比达1∶1.39,高于公立医疗机构的1∶1.24。社会办医机构中卫生技术人员学历偏低;床位数占全市总床位数的21.14%,床位使用率为40%-50%;服务量偏低,诊疗人次占全市诊疗人次的16.79%,出院人次占全市出院人次的11.63%。结论:昆山市社会办医机构初具规模但效率较低,下一步发展要明确社会办医机构的发展定位,加强准入监管和过程质量监管,积极探索医保纳入和人才流动机制,从而满足多元化的卫生服务需求。
Objective: To understand the development status of social medical institutions in Kunshan and to analyze the existing problems. Methods: Based on the routine statistical information of medical institutions in Kunshan City from 2012 to 2015, combined with qualitative interviews, the status quo and the existing problems of the number of medical institutions in Kunshan City, health workers, beds and service volume were analyzed. Results: The proportion of social medical institutions in the city’s medical institutions increased from 58.13% in 2012 to 62.74% in 2015; the ratio of medical care reached 1: 1.39, which is higher than the 1: 1.24 of public medical institutions. The medical qualification of social medical institutions is relatively low; the number of beds occupies 21.14% of the total number of beds in the city and the utilization rate of beds is 40% -50%; the service volume is low, accounting for 16.79% of the clinics in the city, Accounting for 11.63% of the city’s discharges. Conclusion: The social medical institutions in Kunshan City take shape but the efficiency is low. In the next step, the development orientation of social medical institutions should be clarified. The access regulation and process quality supervision should be strengthened. The mechanism of medical insurance and talent flow should be actively explored so as to meet the needs of multiple The demand for health services.