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目的 为摸清县医院运营现状 ,为卫生行政部门决策提供依据。方法 采用普查获取原始资料和调查问卷相结合的方法进行调研。结果 县平均人口 6 5万 ,其中农业人口占 84% ;国民生产总值平均 37 9亿元 ,人均 2 2 80元 ;县千人口医生 1 5 4个 ,病床 1 6 7张 ;县均卫生人力 391人 ,卫技人员占 86 5 % ,医生、护士、医技分别为 33 9%、36 1%、16 7% ,医护比为 1∶1 0 6 ;职称是高、中、初比为 1∶4 3∶8 8;每院年均收入 2 110万 ,政府拨款占 6 3% ,年均支出 1992万 ;病床使用率最低为 30 5 % ,最高为6 9 6 % ;每卫技人员年门急诊人次最少为 34 87次、最多为 35 7 6次。结论 卫生人力结构不合理 ,病床使用率低 ,有的县医院收支略有节余 ,有的负债经营。
Objective To find out the current status of county hospital operations and provide a basis for decision making of the health administrative department. Methods The survey was conducted using a combination of census acquisition source data and questionnaires. Results The county has an average population of 650,000, of which the agricultural population accounts for 84%; the GNP averages 379 million yuan, and the average is 2 280 yuan; the county has 1 540 population doctors, 167 beds; the county’s health manpower 391 people, 86.5% of medical and technical personnel, doctors, nurses and medical technicians were 33 9%, 36 1% and 16 7%, respectively, and the ratio of health care to health care was 1:1 0 6; the title was high, middle and early ratio was 1 : 4 3:8 8; average annual income is 21.10 million yuan per government, government funding accounts for 63%, average annual expenditure is 9.2 million; hospitalization rate is the lowest at 30 5%, and the highest is 6 966%; The number of emergency visits was at least 34 87 and the maximum was 35 7 6 . Conclusion The structure of health workforce is irrational, and the utilization rate of beds is low. Some county hospitals have a slight surplus in their income and expenditure, and some of them are in debt.