中国全科医学2016，Vol.19Issue(34)：4168-4172,5.DOI:10.3969/j.issn.1007-9572.2016.34.004
2012-2014年河南省公立与民营社区卫生服务中心发展对比研究
Comparison Study of the Development betWeen Public and Private Community Health Service Centers of Henan Province in 2012-2014
摘要
Abstract
Objective The development of public and private community health service centers(CHSCs)of Henan Province in 2012—2014 was comparatively analyzed in order to put forward the policy recommendation for the private community health service in Henan Province. Methods The subjects of this study were all the public and private CHSCs in Henan Province from 2012 to 2014. The data of all public and private CHSCs in Henan Province in 2012—2014 from Information Statistics Center of Henan Provincial Health Bureau were analyzed,which included the number of public and private CHSCs,number of (assistant)practicing physicians and registered nurses,outpatient visits,number of people with emergency service and family service,health checkers,inpatients visits,number of beds,number of patients had dual referral between outpatient and hospitalization and so on. Results From 2012 to 2014,in Henan Province,the proportion of public CHSCs decreased from 92. 20% to 90. 05% of all CHSCs,while that of private CHSCs increased from 7. 80% to 9. 95%. The proportion of(assistant) practicing physicians decreased from 91. 04% to 89. 46% of all practicing physicians in public CHSCs while that increased from 8. 96% to 10. 54% in private CHSCs. The proportion of registered nurses decreased from 90. 14% to 88. 20% of all registered nurses in public CHSCs while that increased from 9. 86% to 11. 80% in private CHSCs. The proportion of outpatient visits decreased from 86. 81% to 83. 85% of all outpatient visits in public CHSCs while that increased from 13. 19% to 16. 15% in private CHSCs. The ratio of patients with emergency service decreased from 86. 00% to 78. 83% in public CHSCs while that increased from 14. 00% to 21. 17% in private CHSCs. The proportion of patients with family service decreased from 88. 34% to 76. 37% of all patients with family service in public CHSCs while that increased from 11. 66% to 23. 63% in private CHSCs. The ratio of health checkers decreased from 83. 31% to 81. 99% of all health checkers in public CHSCs while that increased from 16. 69% to 18. 01% in private CHSCs. The proportion of inpatients visits increased from 92. 79% to 93. 15% of all inpatients visits in public CHSCs,whereas that decreased from 7. 21% to 6. 85% in private CHSCs. The proportion of number of beds decreased from 92. 67% to 90. 79% of all beds in public CHSCs,whereas that increased from 7. 33% to 9. 21% in private CHSCs. The proportion of outpatients of all outpatients who were transferred to higher level hospitals decreased from 75. 33% to 71. 55% in public CHSCs,while that increased from 24. 67% to 28. 45% in private CHSCs. The ratio of outpatients of all outpatients who were transferred to CHSCs decreased from 66. 17% to 65. 83% in public CHSCs,while that increased from 33. 83% to 34. 17% in private CHSCs. The proportion of inpatients of all inpatients who were transferred to higher level hospitals increased from 97. 86% to 97. 99% in public CHSCs,while that decreased from 2. 14% to 2. 01% in private CHSCs. Between 2012 and 2014,no inpatients were transferred to CHSCs in both public and private CHSCs. Conclusion In Henan Province from 2012 to 2014,public CHSCs had more remarkable advantages in delivering outpatient and inpatient services,while private CHSCs played a more active role in providing emergency and family service. The outpatient dual referral mechanism was preliminarily established but inpatient dual referral mechanism had not been established in both public and private CHSCs.关键词
社区卫生服务中心/医院,公立/医院,私立/河南Key words
Community health service centers/Hospitals,public/Hospitals,private/Henan分类
医药卫生引用本文复制引用
许静,仲利娟,张丽青,李眩眩,时立,许菲斐..2012-2014年河南省公立与民营社区卫生服务中心发展对比研究[J].中国全科医学,2016,19(34):4168-4172,5.基金项目
河南省卫计委课题（YWZY201459）；河南省教育厅人文社科基地项目（ JD-2014-02）；河南中医学院省属高校基本科研业务费专项项目 （）
