Objective To know status of health resource allocation in public hospitals of the county and city level in Guizhou.
Methods The chi-square test and t-test analysis methods were used to compare and analyze the allocation of health human, financial and material resources, and other health resources in county and city public hospitals in Guizhou Province from 2015 to 2017.
Results The percentage of registered nurses in the county and city public hospitals in Guizhou Province is 49.11%, 49.76%, the proportion of medical practitioners is 24.77%, 34.66%, and the proportion of medical assistant doctors is 1.91% and 0.72%, respectively. The proportion of medical income in the county and city public hospitals is 80.76% and 89.32%, respectively. The income of the financial aid is 16.75% and 9.86% respectively, and equipment more than 10 000 yuan are mainly concentrated in less than 100 000 yuan; the public health care ratio of the county-level is increasing year by year, and the urban public hospital is slightly lower, and the health care ratio is 1:1.84 and 1:1.41, respectively. The utilization rate of the beds decreased, 88.23% and 94.20%, respectively. The number of bed figures for each thousand people increased year by year, and the proportion of public hospitals at the county level and the city were 2.23 and 2.63. The number of health personnel per 1 000 people increased year by year, and the registered nurses for each thousand people were 1.11 and 1.25, respectively. The number of medical practitioners per 1 000 was 0.67, 0.78, the number of health technicians per 1 000 people was 2.11 and 2.44, respectively; and the health resources of the county and municipal public hospitals were statistically significant ( P<0.05).
Conclusion The population of public hospitals in the county and city of Guizhou Province is lower than that of the whole country, the financial input is insufficient, the health care ratio of the county-level public hospitals is higher, the bed-care ratio is increasing year by year, and the urban public hospitals are in the opposite direction.
摘要： 目的 了解贵州省县级和城市公立医院的卫生资源配置现状及比较变化情况。 方法 收集 2015—2017 年 贵州省县级和城市公立医院的卫生人力、财力、物力等卫生资源配置资料，采用统计学方法进行比较分析。 结果 贵 州省县级和城市公立医院注册护士占卫生技术人员的百分比分别为 49.11%、49.76, 执业医师占比分别为 24.77%、 34.66%，执业助理医师占比分别为 1.91%、0.72%;县级和城市公立医院医疗收人占比分别为 80.28%、87.93%, 财政补助 收人占比分别为 16.75%、 9.86%;万元以上设备均主要集中在10万元以下;县级公立医院医护比逐年上升，城市公立医 院略降低, 2017年医护比分别为 1:1.84、1:1.41, 床位使用率均下降，分别为 88.23%、94.20%;每千人口床位数逐年增 加，县级和城市公立医院县级和城市公立医院分别为2.23、2.63张，每千人口卫生人员拥有量逐年增加，每千人口注册 护士分别为 1.11 人、1.25 人，每千人口执业医师分别为 0.67、0.78 人，每千人口卫生技术人员分别为 2.11、2.44 人;县级和 城市公立医院卫生资源配置情况经统计分析差异有统计学意义 ( P<0.05)。 结论 贵州省县级和城市公立医院卫生资 源拥有量均低于全国，财政投人不足，县级公立医院医护比、床护比逐年上升，城市公立医院与之相反。