2013—2021年广东省医院和专业公共卫生机构发展的比较研究
周苗1
深圳市龙华区中心医院，广东 深圳 518000
第一作者和通讯作者：周苗（1990— ），女，硕士研究生，医师，研究方向为公共卫生、医院管理。联系电话：17865130803，E-mail：1359012485@qq.com
摘要：目的 比较2013—2021年广东省医院和专业公共卫生机构发展情况，旨在为广东省医防结合工作开展提供依据。方法 利用2013、2014、2015、2018、2019、2020、2021年广东省卫生健康统计年鉴，2016、2017年广东省卫生和计划生育统计年鉴，描述医院和公共卫生机构数量、在岗人员数及专业技术人员数、建筑面积与业务用房面积、万元以上设备价值及设备数等指标。结果 2013—2021年广东省医院机构数量、在岗人员数、专业技术人员数、建筑面积、业务用房面积、万元以上设备价值和设备数的平均增长速度分别为5.38%、6.3%、6.6%、6.2%、7.3%、22.79%和12.9%，同期专业公共卫生机构数量、在岗人员数、专业技术人员数、建筑面积、业务用房面积、万元以上设备价值和设备数的平均增长速度分别为-12.51%、3.47%、4.1%、3.55%、9.68%、24.1%和12.98%。结论 2013—2021年广东省医院和专业公共卫生机构都在持续发展，但公共卫生机构的整体发展仍然滞后于医院，医院与专业公共卫生机构之间尚未形成协同平衡发展的良好局面，应从人员、建筑与业务用房、设备等方面，加大发展公共卫生机构的力度。
关键词：医院；公共卫生机构；比较；发展
Research on development of hospital and professional public health institutions in Guangdong Province from 2013 to 2021(https://www.daowen.com)
Zhou Miao
Central Hospital of Longhua District, Shenzhen 518000, China
Abstract:Objective To analyze the development of hospitals and professional public health institutions in Guangdong Province from 2013 to 2021, so as to provide a basis for the implementation of prevention health.Methods The data were collected from Guangdong Province Health Statistical Yearbook from 2013 to 2015 and 2018 to 2021, and the health and family planning statistical yearbooks of Guangdong Province in 2016 and 2017.The quantity of hospital and public health institutions and other statistical indicators were analyzed.Results From 2013 to 2021, average speed of growth of the quantity of hospital, the quantity of on-thejob personnel and professional technician, the total area of the building and business premises, the value and quantity of equipment above 10 thousand yuan each were 5.38%, 6.3%, 6.6%, 6.2%, 7.3%, 22.79%, 12.9% respectively.Meanwhile, average speed of growth of the quantity of hospital, the quantity of on-the-job personnel and professional technician, the total area of the building and business premises, the value and quantity of equipment above 10 thousand yuan each were -12.51%, 3.47%, 4.1%, 3.55%, 9.68%, 24.1%, 12.98% respectively.Conclusion From 2013 to 2021, hospitals and professional public health institutions in Guangdong Province have been developing continuously, but the overall development of public health institutions still lags behind hospitals.There is no good situation of synergy and balanced development between hospitals and professional public health institutions, efforts should be made to develop public health institutions in terms of personnel, building, business premises and equipment.
Keywords:Hospital;Public Health Institutions;Comparison;Development
近年来，随着临床医学的大力发展，重疾病治疗、轻疾病预防的现象使“医”与“防”间形成了巨大的鸿沟，给我国公共卫生系统预防疾病的能力造成了极大的伤害，最终不仅会给社会的资源造成严重的浪费，而且还会给社会的稳定带来隐患。因此急需弥补“医”与“防”之间的鸿沟，促使防治结合真正地实施，促进医院与公共卫生机构之间协同发展[1-2]。
医院和专业公共卫生机构两类机构的发展研究是助力医防结合、推动医疗卫生机构协同发展所必须开展的基础工作。本研究比较2013—2021年广东省医院和公共卫生机构发展情况，旨在为医防结合工作开展提供依据[3]。