Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅴ. Evaluation on Primary Healthcare Performance in Xinjin County from 2009 to 2010_Chinese Journal of Evidence-Based Medicine

Authors：

 WANGLi ^# ,  LICui-cui ^# ,  LIYou-ping , SHICheng-hu , YANGZong-xia , WANGYing-qiang , SHENJian-tong , LIXiao

Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

LIYou-ping, Email: yzmylab@hotmail.com

Keywords：

Xinjin county; Public healthcare service system; Primary healthcare; Performance evaluation

DOI：

10.7507/1672-2531.20140043

Video：

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Objective To investigate the essential healthcare system performance in Xinjin county of Chengdu city from 2009 to 2010, so as to provide baseline data for further study. Methods The general information of the essential healthcare, such as the numbers of out and in-patients, service and profits were collected and then analyzed using the software of Microsoft Excel 2003 and SPSS 13.0. Results a) The results showed that the numbers of out and in-patients were in the rank of the county, township and community hospital. The numbers of out and emergency patients has been decreased 31.0% and 25.3% in the community hospital from 2009 to 2010, while patients in the county and township hospital has been increased. The numbers of in-patients has been increased by year; b) hospital bed occupancy has been increased by year, and the hospital bed occupancy of county hospitals was 8% lower than national level in 2009, 33.5% higher in 2010, the hospital bed occupancy of township hospitals from 2009 to 2010 was higher than national level, the ones of community hospital was lower than national level; c) there is an annual decreasing tendency for average days for hospitalization in county and community hospital, which were higher than national level; d) it was lower than national average rate; e) the inpatient fee per time was lower than national average rate; f) in the components of the in-patients expense, drug expense, operation expense and diagnose expense were constituted more than 86% in all eight costs; and g) the receipts and expenditure of Xinjin hospital throughout the year increased by years, the income and expenses showed 39.3% and 37.7%. Conclusion The hospital bed occupancy, average hospitalization days and the inpatient fee per time in Xinjin county of Chengdu city during 2009-2010, were higher than national level. The overall health performance of hospitals in Xinjin county was satisfied. However, there was significant difference between the best and the worst. In order to distribute health resources, both benefit and efficient should be emphasized.

Citation： WANGLi, LICui-cui, LIYou-ping, SHICheng-hu, YANGZong-xia, WANGYing-qiang, SHENJian-tong, LIXiao. Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅴ. Evaluation on Primary Healthcare Performance in Xinjin County from 2009 to 2010. Chinese Journal of Evidence-Based Medicine, 2014, 14(3): 249-254. doi: 10.7507/1672-2531.20140043 Copy

1.	王莉, 沈建通, 李幼平, 等.新津县公益性医疗卫生服务体系改革绩效评估系列之一:新津县基层医疗卫生服务体系改革总体绩效.中国循证医学杂志, 2014, 14(1):2-6.
2.	王莉, 王应强, 李幼平, 等.新津县公益性医疗卫生服务体系改革绩效评估系列之二:新津县基层医疗机构人力资源现况调查.中国循证医学杂志, 2014, 14(1):7-15.
3.	喻佳洁, 李幼平, 王莉, 等.成都市乡镇和社区卫生服务机构基本医疗卫生服务状况调查——三圈七院六站预调查报告之一.中国循证医学杂志, 2008, 8(4):226-232.
4.	姜天一.改革以药补医需综合推进——财政部社会保障司副司长余功斌谈以药养医机制的改革.中国卫生, 2011, 8:37-38.
5.	张丽敏, 徐锋, 徐卫卿, 等.上海市嘉定区社区卫生服务中心经济运行状况分析.中国卫生资源, 2011, 14(4):215-217.
6.	李培文.宝鸡:三级帮扶四级联动.中国卫生, 2011, 8:12.
7.	魏萍.确保"首诊在基层".中国卫生, 2011, 8:58-60.
8.	傅家康.社区卫生服务机构实行收支两条线改革的实践及思考.卫生经济研究, 2007, (2):51-52.
9.	姜天一.公立医院改革期待政府决心——公立医院改革试点政策与管理培训班问卷调查及分析.中国卫生, 2011, 8:40-43.
10.	刘冰, 王保郧.乡镇卫生院发展问题研究进展综述.卫生软科学, 2006, 20(6):440-443.
11.	敬媛媛, 李幼平, 王莉, 等.成都市乡镇/社区卫生服务机构人力资源配置现状调查——三圈七院六站预调查报告之二.中国循证医学杂志, 2008, 8(6):420-428.
12.	周帮旻, 李幼平, 王莉, 等.成都市三圈7个乡镇和社区卫生服务机构药品使用现况调查——三圈七院六站预调查报告之三.中国循证医学杂志, 2008, 8(7):529-537.
13.	李鸿浩, 杨晓妍, 李幼平, 等.四川省双流县永安中心卫生院2008-2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(4):383-389.
14.	李鸿浩, 杨晓妍, 李幼平, 等.宁夏回族自治区吴忠市高闸中心卫生院2008~2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(2):1-9.
15.	李鸿浩, 杨晓妍, 李幼平, 等.甘肃临兆县新添中心卫生院2008~2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(2):131-137.
16.	朱乃庚, 朱闵敏, 唐圣春, 等.成都市社区卫生服务机构慢病服务运行状况及对策研究.医学与社会, 2007, 20(11):23-25.
17.	杨晓妍, 沈建通, 李幼平, 等.四川省双流县永安中心卫生院基本情况现状调查.中国循证医学杂志, 2010, 10(12):1375-1380.
18.	周帮旻, 王莉, 喻佳洁, 等.成都市三圈7个乡镇和社区卫生服务机构抗感染药物合理用药调查——三圈七院六站预调查报告之五.中国循证医学杂志, 2009, 9(1):19-25.
19.	李鸿浩, 杨晓妍, 李幼平, 等.甘肃省临洮县新添中心卫生院2008~2009年度住院疾病构成与用药情况现状调查.中国循证医学杂志, 2010, 11(2):131-137.
20.	李鸿浩, 杨晓妍, 李幼平, 等.宁夏回族自治区吴忠市高闸中心卫生院2008~2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(01):20-28.
21.	周帮旻, 喻佳洁, 王莉, 等.成都市乡镇/社区卫生服务机构人力资源配置现状调查——三圈七院六站预调查报告之六.中国循证医学杂志, 2009, 9(5):515-517.

1. 王莉, 沈建通, 李幼平, 等.新津县公益性医疗卫生服务体系改革绩效评估系列之一:新津县基层医疗卫生服务体系改革总体绩效.中国循证医学杂志, 2014, 14(1):2-6.
2. 王莉, 王应强, 李幼平, 等.新津县公益性医疗卫生服务体系改革绩效评估系列之二:新津县基层医疗机构人力资源现况调查.中国循证医学杂志, 2014, 14(1):7-15.
3. 喻佳洁, 李幼平, 王莉, 等.成都市乡镇和社区卫生服务机构基本医疗卫生服务状况调查——三圈七院六站预调查报告之一.中国循证医学杂志, 2008, 8(4):226-232.
4. 姜天一.改革以药补医需综合推进——财政部社会保障司副司长余功斌谈以药养医机制的改革.中国卫生, 2011, 8:37-38.
5. 张丽敏, 徐锋, 徐卫卿, 等.上海市嘉定区社区卫生服务中心经济运行状况分析.中国卫生资源, 2011, 14(4):215-217.
6. 李培文.宝鸡:三级帮扶四级联动.中国卫生, 2011, 8:12.
7. 魏萍.确保"首诊在基层".中国卫生, 2011, 8:58-60.
8. 傅家康.社区卫生服务机构实行收支两条线改革的实践及思考.卫生经济研究, 2007, (2):51-52.
9. 姜天一.公立医院改革期待政府决心——公立医院改革试点政策与管理培训班问卷调查及分析.中国卫生, 2011, 8:40-43.
10. 刘冰, 王保郧.乡镇卫生院发展问题研究进展综述.卫生软科学, 2006, 20(6):440-443.
11. 敬媛媛, 李幼平, 王莉, 等.成都市乡镇/社区卫生服务机构人力资源配置现状调查——三圈七院六站预调查报告之二.中国循证医学杂志, 2008, 8(6):420-428.
12. 周帮旻, 李幼平, 王莉, 等.成都市三圈7个乡镇和社区卫生服务机构药品使用现况调查——三圈七院六站预调查报告之三.中国循证医学杂志, 2008, 8(7):529-537.
13. 李鸿浩, 杨晓妍, 李幼平, 等.四川省双流县永安中心卫生院2008-2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(4):383-389.
14. 李鸿浩, 杨晓妍, 李幼平, 等.宁夏回族自治区吴忠市高闸中心卫生院2008~2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(2):1-9.
15. 李鸿浩, 杨晓妍, 李幼平, 等.甘肃临兆县新添中心卫生院2008~2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(2):131-137.
16. 朱乃庚, 朱闵敏, 唐圣春, 等.成都市社区卫生服务机构慢病服务运行状况及对策研究.医学与社会, 2007, 20(11):23-25.
17. 杨晓妍, 沈建通, 李幼平, 等.四川省双流县永安中心卫生院基本情况现状调查.中国循证医学杂志, 2010, 10(12):1375-1380.
18. 周帮旻, 王莉, 喻佳洁, 等.成都市三圈7个乡镇和社区卫生服务机构抗感染药物合理用药调查——三圈七院六站预调查报告之五.中国循证医学杂志, 2009, 9(1):19-25.
19. 李鸿浩, 杨晓妍, 李幼平, 等.甘肃省临洮县新添中心卫生院2008~2009年度住院疾病构成与用药情况现状调查.中国循证医学杂志, 2010, 11(2):131-137.
20. 李鸿浩, 杨晓妍, 李幼平, 等.宁夏回族自治区吴忠市高闸中心卫生院2008~2010年度住院疾病构成与费用情况调查.中国循证医学杂志, 2011, 11(01):20-28.
21. 周帮旻, 喻佳洁, 王莉, 等.成都市乡镇/社区卫生服务机构人力资源配置现状调查——三圈七院六站预调查报告之六.中国循证医学杂志, 2009, 9(5):515-517.

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Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅵ. Drug Utilization in Healthcare Institutions of Xinjing County in 2010

Chinese Journal of Evidence-Based Medicine

Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅴ. Evaluation on Primary Healthcare Performance in Xinjin County from 2009 to 2010

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