北京市产科床位资源现状分析

发布时间：2018-04-11 09:28

本文选题：产科床位 + 资源　；参考：《中国妇幼保健》2016年23期

【摘要】：目的了解北京市助产机构产科床位资源现状,为政府出台应对生育高峰的决策提供依据。方法通过统一问卷对北京市所有助产机构进行现况调查,同时收集2013年10月、11月及2014年10月、11月所有机构产科住院病历相关数据。结果北京市活产数呈逐年上升趋势,2014年全年达248 814人,各级助产机构床位数也呈增加趋势,但床位增加比例不能满足活产增加比例。相比2013年,除外一级机构病床周转次数略有降低外,各级助产机构无论产科病床周转次数还是病床周转率均有所增加,二三级助产机构产科病床周转次数分别达61.28、86.67,病床周转率分别达到88.85%、108.83%;相比2013年,病床效率指数除一级机构无变化外,各级助产机构均有增加,二三级助产机构分别为2.72、5.55。2015年每千活产拥有产科床位数相比2013年,除一级机构外均有不同程度降低,目前三级机构数值最低,为15.23张;除一级机构外,各级助产机构每床活产数均较2013年有所增加,三级机构增加最多,每床活产数增加5人,现为66人/张;三级、二级、一级、营利性机构产科床位供需比值分别为:0.80、1.03、7.51、2.56。结论北京市产科床位配置不足,二三级助产机构产科床位处于高效运行阶段,一级及营利性助产机构产科床位还有使用空间。
[Abstract]:Objective to understand the current situation of obstetric beds in midwifery institutions in Beijing, and to provide evidence for the government to make decisions to deal with the birth peak.Methods all midwifery institutions in Beijing were investigated by unified questionnaire, and the data were collected in October, November, and October, 2014 and November of 2013.Results the number of live births in Beijing increased year by year, reaching 248,814 people in 2014. The number of beds in midwifery institutions at all levels also showed an increasing trend, but the increasing proportion of beds could not meet the increasing proportion of live births.In comparison with 2013, the number of hospital beds turnover at all levels of midwifery increased, with the exception of a slight decrease in the number of hospital beds at the first level, as well as the rate of bed turnover at all levels of midwifery,The turnover times of obstetric beds in the second and third level midwifery institutions reached 61.28 and 86.67, respectively, and the bed turnover rate reached 88.85 and 108.83 respectively. Compared with 2013, the hospital bed efficiency index, except for the first-level institutions, showed an increase in the number of midwifery institutions at all levels.The number of obstetric beds per 1,000 live births in the second and third levels of midwifery was 2.72, 5.55. Compared with 2013, the number of maternity beds per 1,000 live births decreased to varying degrees, with the lowest value of 15.23 at the third level, with the exception of the first-level institutions.The number of live births per bed in midwifery institutions at all levels increased more than in 2013, and the number of live births per bed increased by 5 people per bed, and the ratio of supply and demand of obstetrical beds in tertiary, second-class, first-grade and profit-making organizations was respectively: 0.80 / 1.037.51n2.56.Conclusion the allocation of obstetrical beds in Beijing is insufficient, and the obstetric beds of the second and third degree midwifery institutions are in the stage of efficient operation.
【作者单位】：首都医科大学附属北京妇产医院北京妇幼保健院围产保健科;
【基金】：北京市科技计划项目(CBKT20134282)
【分类号】：R172

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