目的:分析神木县卫生资源现状,对比“全民免费医疗”实施前后卫生资源配置变化状况。方法:资料来源于神木县卫生局2007--2009年相关统计资料,运用描述性统计方法进行分析。结果:(1)神木县卫生机构总数呈现逐年下降趋势,尤其是卫生所/诊所/医务室(不包含村卫生室)数目急剧减少;(2)2009年神木县医护比达1.56,与陕西省1.13的平均水平还有很大差距;(3)神木县卫生人员学历水平总体有所提升,但全县高学历、高技术人才仍然短缺;(4)卫生床位数呈现逐年增加趋势,其中2009年增长率高于往年;(5)卫生设备呈现逐年增加趋势。结论:(1)“全民免费医疗”对卫生资源配置数量起到了明显的促进作用;(2)卫生资源在县级医院、乡镇卫生院和村卫生室之间的配置不均衡,应加大对乡镇卫生院和村卫生室的人力、设备和资金的支持。
Objectives: To analyze the status of changes of health resources and relevant indicators before and after the set of "Free Health Care for Residents" at Shenmu County. Methods: A descriptive analysis was conducted by using the information and statistical data obtained from the Health Bureau from 2007 to 2009 at Shenmu County. Results : ( 1 ) The total number of health institutions at Shenmu County is declining year by year, especially the number of village clinics ; (2) Component of doctor over nurse ratio in health workforce at Shenmu County is 1.56 higher than the average of 1.13 in Shaanxi Province. (3) Shenmu health personnel with the degree of graduate, undergrad- uate, post-secondary is increasing, but the county' s highly educated, high-tech talent is still in shortage. (4) Number of hospital beds is increasing year by year, of which growth rate in 2009 was higher than in previous years ; (5) Number of medical equipment is increasing year by year. Conclusions : ( 1 ) "Free Health Care for Residents" promoted a obvious help for the development of health resources at Shenmu County ; (2) Health Resources among the county-level hospitals, township hospitals and village clinics were with imbalance. This study recommends increasing health personnel, equipment, and fund resources to township hospitals and village clinics.