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目的:探索成都市私营卫生机构发展情况及存在问题,为优化其卫生资源配置与利用和进一步发展提供参考依据;方法:运用构成比和平均增长速度等指标描述2008—2013年成都市私营卫生机构的卫生资源配置和利用效率的变化情况;结果:2008—2013年私营卫生机构数量不断增加,平均增长速度为8.87%。执业(助理)医师、注册护士、床位、万元以上医疗设备、资产以及负债等卫生资源不断增加。卫生服务利用中门急诊人次和出院人数占全市卫生服务利用比例增加,但病床使用率较低,医师人均每年担负诊疗人次减少;结论:成都市私营卫生机构对公立机构起到了一定的补充作用,但利用效率较低。进一步发展私营卫生机构,需要政府政策进一步落实,机构自身提高医疗质量,提高社会认同度,吸引患者,使卫生资源得到充分利用。
Objective: To explore the development situation and existing problems of private health institutions in Chengdu, and to provide reference for optimizing the allocation and utilization of health resources and further development. Methods: Using indicators such as composition ratio and average growth rate, the paper described the private health institutions in Chengdu in 2008-2013 Of the changes in the allocation of health resources and utilization efficiency; Results: The number of private health institutions in 2008-2013 continue to increase with an average growth rate of 8.87%. Practicing (assistant) physicians, registered nurses, bedspaces, health care resources such as medical equipment, assets and liabilities of over RMB10,000 are on the rise. The utilization rate of outpatient service and outpatient service of health service in the city increased, but the utilization rate of hospital beds was lower, and the number of doctors and physicians per capita decreased every year. Conclusion: Private health agencies in Chengdu played a supplementary role in public institutions, But less efficient to use. Further development of private health institutions requires the further implementation of government policies. The institutions themselves improve the quality of medical care, enhance social acceptance, attract patients and make full use of health resources.