增加病床数量或医护人员数量是否有助于合理使用稀缺的公共卫生资源？
Does increasing the number of beds or health workers contribute to the rational use of scarce public health resources?
作者信息
Cinaroglu Songul
机构信息
Department of Health Care Management, Hacettepe University, Ankara, Turkey.
出版信息
Glob Health Med. 2023 Feb 28;5(1):23-32. doi: 10.35772/ghm.2023.01006.
Turkey makes substantial investments to increase the number of qualified beds in hospitals, the shortage in health professionals remains one of the main obstacles of the health system in the country. To address this research gap, the study aims to formulate a rational solution for the dilemma on whether to invest in beds or health professionals contribute to the rational use of scarce public health resources. Data for testing the model were derived from the Turkish Statistical Institute across 81 provinces in Turkey. The path analytic approach was used to determine the associations among hospital size, utilization/facility, health workforce, and indicators of health outcomes. The results point to a strong link between quantity of qualified beds, utilization of health services, and facility indicators, and health workforce. Rational use of scarce resources, optimal capacity planning, and increased quantity of health professionals will be beneficial for the sustainability of health care services.
土耳其为增加医院合格病床数量进行了大量投资，然而卫生专业人员短缺仍是该国卫生系统的主要障碍之一。为填补这一研究空白，本研究旨在为是投资病床还是投资卫生专业人员这一困境制定合理解决方案，以促进稀缺公共卫生资源的合理利用。用于测试该模型的数据来自土耳其统计局，涵盖土耳其81个省份。采用路径分析方法来确定医院规模、利用/设施、卫生人力和健康结果指标之间的关联。结果表明，合格病床数量、卫生服务利用和设施指标以及卫生人力之间存在紧密联系。合理利用稀缺资源、进行最佳容量规划以及增加卫生专业人员数量将有利于医疗服务的可持续性。
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