Comparative analysis of the development of hospitals and primary healthcare institutions from 2009 to 2018 / 中华医院管理杂志

ABSTRACT

Objective:To comparatively analyze the development of hospitals and primary healthcare institutions during the healthcare reform since 2009.Methods:Based on statistical data from 2009 to 2018 and qualitative data, the development of primary healthcare institutions and hospitals was compared from 2009 to 2018 by computing the compound annual growth rate of health manpower, facilities, income, expenditure and service.Results:The growing speed of health professionals in hospitals(7.49%)was much faster than primary healthcare institutions(4.32%). The difference of healthcare professionals in hospitals and primary healthcare institutions grew larger and larger. The infrastructure in hospitals had developed much faster compared to that of primary healthcare institutions. The growing speed of fiscal subsidy in primary health care institutions was much faster. However the absolute number of fiscal subsidy for primary health care institutions was smaller than hospitals. The average growing speed of total income and medical income in hospitals was much faster. The average growing speed of health service in primary healthcare institutions was much slower, especially the inpatient service. The rates of hospital beds use in hospitals and primary health institutions were about 84% and 60% respectively.Conclusions:The quick expansion of hospitals was siphoning resources and curbing the development of primary healthcare institutions. Healthcare resources mismatch could hardly be overturned by measures taken in medical insurance. Rational health resources distribution was essential for hierarchical medical system to develop.