Analysis of current situation of pediatric medical resources allocation in Beijing from 2013 to 2017 / 中华医院管理杂志

ABSTRACT

Objective To find out the present pediatrician allocation and the burden of diagnosis and treatment in Beijing,so as to provide evidence for effective allocation of pediatricians.Methods Data and indicators were selected from Beijing Health Comprehensive Statistical Information Platform,including Manpower Basic Information Survey of Beijing Health Institutions,Annual Report of Medical Institutions,Beijing Statistical Data on Health Work (Compendium),as well as Beijing Health and Family Planning Statistical Yearbook.The study dynamically analyzed the number of pediatricians,that of pediatricians per 1 000 children,that of outpatients and emergency patients per pediatrician and the number of discharges per pediatrician from 2013 to 2017.Descriptive analysis was carried out on the data.Results In 2017,the proportion of pediatricians accounted for 2.78％ of the total number of doctors in the city,the number of pediatric emergencies accounted for 6.47％ of the total outpatients and emergencies in the city,and the number of hospitalizations accounted for 5.70％ of the total discharge in the city.From 2013 to 2017,the number of outpatients and emergency patients per pediatrician increased by 40.58％,and the number of discharged patients increased by 36.70％.The proportion of hospitalization at tertiary hospitals increased from 80.2％ to 85.1％,and that in primary institutions decreased from 6.3％ to 1.7％.Conclusions The study found such setbacks in the allocation of pediatric medical resources in Beijing,as insufficient pediatricians,unreasonable allocation and excessive burden on pediatricians.We should strengthen the planning and construction of pediatric human resources,improve the training mode of pediatricians,improve the salary level of pediatricians,and ease the burden on pediatricians,so as to provide high-quality medical services for children.