Department of Administration Office, Luzhou People's Hospital, Luzhou, Sichuan, China.
Medicine (Baltimore). 2024 Aug 16;103(33):e39329. doi: 10.1097/MD.0000000000039329.
To analyze the allocation and utilization efficiency of hospital beds in Sichuan Province, China, and to provide a scientific basis for improving the rational allocation and efficient utilization.
The supply and demand balance method, health resource agglomeration degree (HRAD), bed efficiency index and bed utilization model were used to evaluate the allocation and utilization efficiency of hospital beds in Sichuan Province from 2017 to 2021.
The number of hospital beds per 1000 population in Sichuan Province increased from 4.97 in 2017 to 5.94 in 2021. The overall supply and demand ratio of hospital beds in Sichuan Province is between 0.85 and 1.01, and the supply and demand situation is a basically balanced situation. The HRAD of hospital beds in Ya'an, Aba, Ganzi and Liangshan is <1, indicating that the equity of hospital beds by geography in these regions is low. The difference between HRAD and population agglomeration degree (PAD) in 9 regions, including Deyang, Aba, Ganzi and Liangshan, is <0, indicating that there are insufficient hospital beds in these areas relative to the agglomerated population. The bed efficiency index of hospital beds in 17 regions, including Chengdu, Zigong, Aba and Ganzi, are all <1, which means that hospital beds are operating with low efficiency. The bed utilization model of Panzhihua is efficiency type, that of Zigong, Deyang and Ziyang is pressure bed type, and that of Nanchong and Ya'an is idle type.
The hospital bed allocation in Sichuan Province is relatively good, and the supply and demand situation is in a basically balanced situation. The hospital bed allocation in Aba, Ganzi and Liangshan is insufficient by geography and population. The overall operational efficiency of hospital beds is low, and there are more idle and pressure bed utilization models.
分析中国四川省医院床位的配置和利用效率，为提高合理配置和高效利用提供科学依据。
采用供给与需求平衡法、卫生资源集聚度（HRAD）、床效指数和床利用模型，对 2017-2021 年四川省医院床位配置和利用效率进行评价。
四川省每千人口医院床位数由 2017 年的 4.97 张增加到 2021 年的 5.94 张。四川省医院床位总体供需比在 0.85-1.01 之间，供需形势基本平衡。雅安市、阿坝州、甘孜州和凉山州床位 HRAD<1，表明这些地区床位地理配置公平性较低。德阳市、阿坝州、甘孜州和凉山州等 9 个地区床位 HRAD 与人口集聚度（PAD）差值<0，表明这些地区床位集聚人口相对不足。成都市、自贡市、阿坝州和甘孜州等 17 个地区医院床位床效指数均<1，表明医院床位运行效率较低。攀枝花市床位利用模型为效率型，自贡市、德阳市和资阳市为压力型床位，南充市和雅安市为闲置型床位。
四川省医院床位配置相对较好，供需形势基本平衡。阿坝州、甘孜州和凉山州床位地理和人口配置不足。医院床位整体运行效率较低，闲置和压力型床位利用模式较多。
