Analysis of Inpatient Bed Allocation Equity and Utilization in the City Community Health Service Center of China

被引:10
作者
Xu, Jing [1 ]
Wu, Nina [2 ]
Jin, Shengguo [3 ]
Wang, Fang [1 ]
Wang, Yunxia [4 ]
Liu, Liqun [3 ]
Lu, Zuxun [1 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Social Med & Hlth Management, Wuhan 430030, Peoples R China
[2] Capital Med Univ, Sch Hlth Adm & Educ, Beijing 100069, Peoples R China
[3] Minist Hlth Peoples Republ China, Div Maternal & Child Hlth & Community Hlth, Beijing 100044, Peoples R China
[4] Huazhong Univ Sci & Technol, Tongji Med Coll, Liyuan Hosp, Gerontol Med Res Inst, Wuhan 430077, Peoples R China
关键词
community health service center; IB; allocation; utilization; China;
D O I
10.1007/s11596-010-0201-6
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The objective of this study was to examine the inpatient bed (IB) allocation equity and utilization in Chinese city community health service centers (CHSCs). The data were derived from the Baseline Survey of National City Community Health Service System Building Project, which was conducted in 1917 CHSCs in 28 cities in 2007. The IB allocation was analyzed in terms of IB allocation quantity and distribution equity, and the IB utilization was analyzed by the IB utilization rate and average length of stay of the CHSC inpatients. The results showed that 49.3% of the CHSCs were equipped with IB; averagely, there were 45 IBs per CHSC, 0.94 IBs per 1000 people, and 0.38 nurses and 0.57 doctors per IB; the IB Gini coefficient was 0.32; the IB utilization rate was 40.06%; and the average length of stay of inpatients was 12.24 days. The conclusions were that IB allocation among the population was equitable, but the number of nurse per IB was not up to the national standard; and the CHSC IB utilization was low as a whole, thus inpatient service was not the main health service for Chinese CHSCs.
引用
收藏
页码:141 / 144
页数:4
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