卫计委:去年民营医院数量增加1914个

2017-08-27 郑瑶 赛柏蓝

全国医院市场依然一半是海水,一半是火焰。

全国医院市场依然一半是海水,一半是火焰。

日前,国家卫计委公布《2016年我国卫生和计划生育事业发展统计公报》,报告显示,2016年,公立医院减少361个,民营医院数量增加1914个。

在政策红利加持下,民营医院发展势头似乎一片大好。

随着政府鼓励社会资金进入医疗领域,一方面在财政压力下,一批公立医院转企改制;另一方面,不少社会资本进入并大力兴建医院,万达、恒大、海尔都是代表——2015年,民营医院在数量上正式超过公立医院;一年后,这一差距进一步拉大。

▍公立医院“四两拨千斤”

根据报告数据:截止2016年末,医院29140个,与上年相比,增加1553个。其中,公立医院12708个,民营医院16432个。

按医院等级划分:三级医院2232个(其中:三级甲等医院1308个),二级医院7944个,一级医院9282个,未定级医院9682个。

按医院床位数分:100张床位以下医院17490个,100-199张医院4324个,200-499张医院4081个,500-799张医院1643个,800张及以上医院1602个。

2016年末,全国医疗卫生机构床位741.0万张,其中:医院568.9万张(占76.8%),在医院中,公立医院床位又占了78.3%,民营医院床位占21.7%。

同时,与上年相比,床位增加39.5万张,其中:医院床位增加35.8万张 。

通过数据可以看到,如果将床位数简单的比作提供医疗服务的能力,虽然在医院数量上,公立医院已经落后于民营医院,但是,即使在这种情况下,公立医院仍然提供了近80%的医疗服务。
同时,与上年相比,床位增加39.5万张,其中:医院床位增加35.8万张。

通过数据可以看到,如果将床位数简单的比作提供医疗服务的能力,虽然在医院数量上,公立医院已经落后于民营医院,但是,即使在这种情况下,公立医院仍然提供了近80%的医疗服务。

▍公立医院“快马加鞭”

另一方面,2016年,全国医院总诊疗人次达32.7亿人次, 与上年比较,医院诊疗人次增加1.9亿人次,其中, 公立医院诊疗人次28.5亿人次(占医院总数的87.2%),民营医院4.2亿人次(占医院总数的12.8%)。

2016年入院总人数中,医院占17528万人 ,其中公立医院入院人数14750万人(占医院总数的84.2%),民营医院2777万人(占医院总数的15.8%)。

2016年,全国医院病床使用率85.3%,其中:公立医院91.0%。与上年比较,医院病床使用率下降0.1个百分点(其中公立医院上升0.6个百分点)。2016年医院出院者平均住院日为9.4日(其中:公立医院9.6日),与上年比较,医院出院者平均住院日下降0.2个百分点。

在医院病床使用率下降0.1个百分点的情况下,公立医院上升0.6个百分点——这就表明,医院病床使用率的下降总体来自于民营医院,从效益最大化的角度来看,公立医院的医疗资源似乎得到了更大化的使用。此外,患者平均住院日的下降则表明,作为床位主要提供者的公立医院,其资源不仅利用的充分,而且在变得高效。公立医院、民营医院,作为博弈双方,一荣则一损。

关于这一现象,有业内人士分析,随着医联体、分级诊疗等政策的落地,公立医院之间单打独斗的状态在逐渐打破,随着信息共享的实现,公立医院彼此联动,届时作为一个整体,公立医院在避免重复诊疗,提高医疗效率方面会大放光彩。

在数量远不足公立医院的年代,民营医院经历过迅速的野蛮生长。当数量赶超了公立医院的时候,公立医院内部在优胜劣汰,缩量提质。

对于民营医院,时代似乎发展的比匆匆的脚步更快,庞大的体量并不意味着什么优势,但是庞大的体量毕竟为泥沙俱下的民营生态提供了自我净化的充分可能,而这种自我净化也一定遵从优胜劣汰的不变法则。

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    2017-08-27 131****1460

    学习了受益匪浅.

    0

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    2017-08-27 飛歌

    厉害了我的哥

    0

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    2017-08-27 1e0f8808m18(暂无匿称)

    民营医院己获半壁江山.

    0

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    2017-08-27 执着追梦

    学习.谢谢分享

    0

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