A Study On The Current Situation And Dynamic Changes Of The Health Resources In Public Hospital Of Gansu Province

Objectives:To study the present Status and the developing tendency of health resources of public hospitals in last five years in Gansu province, and analyze current crucial problems on disposition of health resource. Follow by the human geography, political and economic situation in the whole province, some suggestions were put forward for the government and managers how the health resources are better integrated and allocated. Health resources are optimized and its efficiency are improved in the use.Thus the hospitalizing environment are further improved, the financial burden on the residents are reduced, and the health of the people is improved in Gansu provinceMethods:The data of economic, population and health resources etc. and related information and policy were collected from 2004 to 2008. And a database was established and the data were analyzed by SPSS13.0.Results:1) The total health expenditure of the whole province increased year by year, whose average growth rate per year reached 16.51% from 2003 to 2007. The rates of them showed a tendency of going up yearly, which were lower than that of the national average level, and the most important resources of total health expenditure financing constituent ratio was individual expenditure.2) During 2004-2008, the number of hospitals did not change, but the beds and health personnel increased with the time. The professional medical personnel accounted for more than 80%. The licensed (assistant) physicians made up the biggest percentage, followed by nurses. The ratio between doctor and nurse was 1.44-1.50:1, which was lower than the standard value. The ratio of beds and nurses was about 1:0.3. The per thousand people shared 1.17 doctors and 0.82 nurses in Gansu Province in 2008, which was far below the national level, which was 1.57 and 1.25 respectively. The health technical personnel also increased in five years in all-level hospitals. The proportion of professional title did not conform to the titles structure recommended by WHO. In the terms of the proportion of education, the higher-level hospitals, the more the percentage of high educational background, and the higher increasing range. In the respect of age, the mid-aged group accounted for the biggest proportion in all levels of hospital.3). The number of equipments increased. The medical treatment facilities below 500,000 RMB were over 90%, while different levels of hospital equipment configurations were discrepancy. In Gansu province, the popularization rate in B large-scale equipments, especially the CT which was owned 6.39 units per million people, was high. The coincidence rate of about 50%-60% of the equipment was less than 80%.4) From2004 to 2008, the current ratio and the speed ratio was respectively more than 1.19 and 0.97, the property debt rate was about 30% in Gansu Province. The current ratio of 3 A grade hospital was greater than 2. The debt ratio, the net assets and fixed assets average rate of growth was 11.97% and 13.07% respectively. The average growth rate of the Public hospitals was 22.50% in Gansu Province between 2004 and 2008. The business income made up 73% or more and the financial subsidy was more than 12%. The drug costs per outpatient accounted for 50% of the charges per outpatient in 5 years.In the observation period, medical income was the largest share of total revenue at all levels hospitals. Drug income decreased continuously, but the share of it was still high. The proportion of medical expenditure was the highest, followed by the drug expenditure.Conclusions:Although a increase in total quantity and a steady change in quality for the health resources were showed in recent years, it did not fully satisfy the demand for population, because allocation of health resources was irrational and function was dislocation, lead to a low utilization rate of health resource.Approachs:(1) Optimizing the disposition and utilization of health service resources(2) Strengthing the government functions, increase the financial subsidy to hospitals and to give policy support.(3) Integrating health resources, the government grading compensate for the hospitals.(4) Promoting the medical health resources equilibrium assignment of interregional and inter-group.(5) Promoting the medical and health system reform actively.