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目的为新疆县级医院制定合理的床位配置标准提供依据。方法采用随机分层抽样方法,在新疆36个贫困县中随机抽取6个贫困县的6个县医院进行床位资源调查。结果 2005~2011年6个县中,S县县医院的编制床位数增加最多,2005年为145张,2011年达350张;2011年按现行标准每千人口床位5~7张,只有A县达到标准(每千人口床位6张),其他县均在标准以下。2005~2011年6年间,6个县县医院的床位使用率情况呈现逐年增加趋势,平均增长率在2.15%~13.54%之间,其中A县的平均增长率最快,为13.54%。2011年,6个县县医院的床位工作效率中,Q县、A县、S县呈高效率运行(效率指数>1),而其他县呈低效率运行(效率指数<1),但6个县平均来看处于高效率运行状态。结论新疆6个贫困县县医院的床位配置与利用不容乐观,可在此床位范围的基础上,结合当地经济发展水平及人口状况等因素,确定能够满足其医疗需求的适宜规模。
Objective To provide the basis for establishing a reasonable standard of bed configuration in county-level hospitals in Xinjiang. Methods A random stratified sampling method was used to investigate the bed resources of six county hospitals in six impoverished counties in 36 poor counties in Xinjiang. Results Among the six counties from 2005 to 2011, the number of beds in S county hospitals increased most, from 145 in 2005 to 350 in 2011. According to the current standards, in 2011, there were 5 to 7 beds per 1,000 population. Only A county Reached the standard (6 beds per thousand population), other counties are below the standard. In the six years from 2005 to 2011, the utilization rate of beds in six county hospitals showed an increasing trend year by year, with an average growth rate of 2.15% ~ 13.54%. Among them, County A had the fastest average growth rate of 13.54%. In 2011, of the six county hospitals, Q County, A County and S County showed high efficiency (efficiency index> 1), while other counties showed inefficient operation (efficiency index <1), but six On average, counties are in high-efficiency operation. Conclusion The allocation and utilization of beds in six impoverished counties and counties in Xinjiang are not optimistic. Based on the range of beds and the factors such as the level of local economic development and demographics, the suitable scale for meeting the medical needs can be determined.