June 1st, the public hospital reform in Ji'nan city has been slowly opened, and the benefits of "two down two tonic" are gradually showing. At the same time, the 2015 Ji'nan city health project development statistical bulletin "big data" also fresh out of the furnace -
2015, the total amount of medical and health resources in the city rose from the volume of medical services, the hospital continued to maintain a steady growth, the basic medical and health institutions of the grass-roots medical and health institutions have decreased in general. Rising trend.
below, the reporter used medical "big data" to fully display the situation of Ji'nan city health plan.
health resources
the number of medical and health institutions
the number of medical and health institutions in the city at the end of 2015, and 5417 medical and health institutions at the grass-roots level.
19
/ > 212
212
compared with the end of 2014. Compared with the end of 2014, the city's medical and health institutions increased by 206, of which 5 were increased in the hospital and 199 of the grass-roots medical and health institutions were increased.
compared with the end of 2014, the number of medical institutions in the city decreased by 6 and 11 in private hospitals. Community health service centers (stations) and village clinics, clinics increased, township hospitals reduced. The reduction of township hospitals is due to the transformation of Huaiyin District, township health center and Wu Jia Bao township health center into community service center.
medical institution bed number
2015 beds for medical institutions of the city at the end of 2015, hospital beds (85.59%), beds of 2991 (6.07%), 2792 beds (5.66%) for community health service centers and 834 beds for maternal and child health care centers (1.69%).
the number of medical institutions in the city was
compared with the end of 2014. The beds of medical institutions increased by 1031, including 1330 beds in hospital beds, 193 beds in health centers and 65 beds in community health service centers.
medical service
outpatient service
the total number of medical services of various institutions in the past year
in 2015, the total number of medical and health services in the city was 54 million 89 thousand times, and the same ratio increased by 0.20%. There were 27 million 153 thousand hospital times (50.20%), 25 million 412 thousand people (46.98%) and 3.93% professional public health institutions (46.98%), and 1 million 499 thousand people (2.77%), and 4.27% in the same period.
hospitalization service
the number of discharge from all kinds of medical institutions was
in 2015, the number of discharge from the medical and health institutions of the city was 1 million 246 thousand, up by 2.36%. Among them, 1 million 121 thousand (89.99%) were in hospitals, 78 thousand (6.23%) were increased by 5.63% medical and health institutions, and 47 thousand (3.79%) were reduced by 18.52% professional public health institutions over the same period, with a year-on-year reduction of 21.96%.
the whole city patients flow to
54 million 89 thousand person times in 2015, including 17 million 909 thousand people in grade three, 16 million 287 thousand in class a Class A, 25 million 66 thousand in more than two hospitals, and at the first level There were 1 million 90 thousand people in hospitals and 25 million 412 thousand people in primary health care institutions.
33.11% to three level hospitals, 30.11% to grade a class a hospital, 46.34% in level two hospitals, 2.02% in first level hospitals and 46.98% for basic medical and health institutions.
the three counties with higher proportion of visits to the three grade hospitals are Lixia District (61.15%), Huaiyin District (55.72%) and Tianqiao District (39.47%). The three districts and counties with higher level of hospital treatment over two levels were three counties (16.37%), Shanghe county (19.13%) and Zhangqiu (21.13%), which were in the lower proportion of the hospital in the Huaiyin District (73.89%), the Lishi district (67.06%) and the Tianqiao District (52.98%). The three counties with higher proportion of visits to primary health care institutions are Shanghe (79.84%), Licheng District (76.51%) and Zhangqiu (73.99%). The rate of hospital bed use and average hospitalization day
the use rate of medical institutions of various kinds of medical institutions was
in 2015, the use rate of medical institutions in the city was 77.64%, which was down by 2.06 percentage points over the same period. Hospital bed utilization rate was 82.37%, down 1.77 percentage points year-on-year. Among them, the utilization rate of beds in grade three hospitals was 94.89%, a decrease of 3.63 percentage points over the same period. The utilization rate of beds in health centers was 38.62%, down 7.98 percentage points over the same period.
the per capita medical expenses of medical and health institutions
three level hospitals per capita medical expenses
in 2015, the average medical fee per medical treatment of three level hospitals in the city was 331 yuan, and the same ratio increased by 6%. Among them, the cost of medicine for each treatment was 173.2 yuan, a decrease of 0.1% over the same period. The average hospitalization expenses for each discharged patient was 18053.5 yuan, a decrease of 0.1% over the same period. Among them, the average hospitalization expenses for each discharged patient was 7453.4 yuan, a decrease of 0.1% over the same period. The average daily hospitalization expenses for discharged patients was 1633 yuan, up 4.7% over the same period last year.
two hospitals per capita medical expenses
in 2015, the average medical expenses of two hospitals in the city were 236.9 yuan, up 9% over the same period. Among them, the cost of medicine for each treatment is 114 yuan, up 10.6% over the same period. The average hospitalization expenses for each discharged patient was 7953.2 yuan, a decrease of 0.4% over the same period. Among them, the average hospitalization expenses per discharged patient was 3310.4 yuan, up 4% over the same period. The average daily hospitalization expenses for discharged patients was 819.5 yuan, up 1% over the same period last year.
the average per capita medical expenses of township hospitals is
in 2015, the average medical cost of township clinics was 70.7 yuan, which was 0.7% lower than that of the same year. Among them, the cost of medicine for each treatment was 28.4 yuan, a decrease of 12.6% over the same period. The average hospitalization expenses per discharged patient was 2293.7 yuan, an increase of 11.1% over the same period. Among them, the average hospitalization expenses for each discharged patient was 645.8 yuan, a decrease of 2.6% over the same period. The average daily hospitalization expenses for discharged patients was 278.3 yuan, up 12.4% over the same period last year.
the per capita medical cost of community health service center was
in 2015, the city community health service center had an average medical fee of 87.6 yuan per person, up 19.8%. Among them, the cost of medicine for each treatment is 50.6 yuan, up 22.7% over the same period. The average hospitalization expenses per discharged patient was 4079.6 yuan, an increase of 8.3% over the same period. Among them, the average hospitalization expenses per discharged patient was 1341 yuan, up 6.1% over the same period. The average daily hospitalization expenses for discharged patients was 315.5 yuan, up 18.9% over the same period last year. Conclusion
2015, the overall development trend of medical and health institutions in the city continues to improve, but there are still some shortcomings.
the total amount of medical and health resources continued to increase
the number of medical and health institutions in the city, from 5579 in 2014 to 5785. The number of medical and health institutions in the city increased by 3.69% to 49311, an increase of 1031 over the same period last year. The total number of health technicians in the city was 89 thousand and 300, up from last year. Add 4 thousand and 600 people, up 5.44%.
hospital medical services maintained a good increase in 2015. In 2015, the number of total hospital clinics was 27 million 153 thousand, up 4.67%, and the proportion of the total number of diagnosis and treatment in the city was increased from 48.06% to 50.20% last year. Among them, the proportion of public hospitals in the total diagnosis and treatment of the city increased from 45.47% last year to 47.03% private hospitals, which increased to 3.17% from 2.58% last year.
in 2015, the number of discharged patients in hospitals was 1 million 121 thousand, an increase of 5.63% over the same period last year, accounting for 87.21% of the total number of discharged patients in the city from 87.21% last year to 89.99%. Among them, the proportion of private hospitals accounted for the total number of discharged hospitals increased from 6.77% last year to 8.84%.
in 2015, the total number of medical and health care institutions in the whole city was 25 million 412 thousand, which decreased by 1 million 38 thousand compared with last year, and decreased by 3.93%. Among them, the community health service centers (stations) increased by 5.99%, township hospitals decreased by 24.53%, village clinics dropped by 4.74%, clinics (health centers and clinics) decreased by 2.48%. The proportion of primary and secondary health care institutions accounted for 46.98% of the total number of visits, down 2.02 percentage points from the same period last year.
the decline in the proportion of medical treatment in the grass-roots level. One is the improvement of the living standard of residents and the enhancement of the ability to pay for medical insurance, which increases the possibility of getting more and more high-level services for the patients. But the policy of reimbursement does not play the role of shunt patients, two is the primary, two-way referral, and classification system. Not perfect three is not really strong at the grass-roots level, the level of medical staff at the grass-roots level, service ability has not been fundamentally improved four is the grass-roots medical and health workers' enthusiasm has not been mobilized five is the large hospital's profit - to - profit mechanism has not been broken.