期刊
RISK MANAGEMENT AND HEALTHCARE POLICY
卷 14, 期 -, 页码 155-162出版社
DOVE MEDICAL PRESS LTD
DOI: 10.2147/RMHP.S287841
关键词
infectious disease hospital; trend analysis; longitudinal analysis; national survey data
资金
- National Natural Science Foundation of China [82073614]
- Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD)
The study found that while the development of infectious disease hospitals in China is generally good, there are still issues such as small scale, weak response to major emergencies, and irrational resource allocation.
Background: Infectious disease hospitals (IDHs) play very important roles in the battle against the infectious disease. The present study aims to systematically analyze the development trends and possible problems of IDHs in China. Methods: Most of the data came from the China Health Statistics Yearbook 2003-2019. Joinpoint Regression Model was used to analyze the development trends of IDHs between 2002 and 2018. Results: From 2002 to 2018, the number of IDHs in China increased from 126 to 167, with an average annual percent change (AAPC) of 1.82%. The ratio of nurses to beds increased from 0.38 to 0.46 with the AAPC of 0.88%, and average business housing area per bed increased with an AAPC of 1.97%. The percentage of liabilities to total assets increased year by year and the percentage of medical business costs to total expenditure decreased. The segmented trend of daily visits per physician from 2014 to 2018 was stable, and the segmented trend of daily inpatients per physician from 2012 to 2018 decreased significantly. In 2017, the rates of surgical inpatients leaving the hospital without the doctor's advice and surgical inpatients mortality were higher than 2016. Conclusion: Although the development of IDHs was generally good in China, the scale of IDHs was generally small, the ability to respond to major emergencies was weak, the problem of irrational resource allocation was still prominent, and the operation of IDHs was facing a dilemma.
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