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有效利用、合理配置卫生资源是卫生改革的重要内容。为了适应社会主义市场经济,促进卫生事业发展,我们对哈尔滨市道里区卫生资源状况做了调查,现就如何优化配置卫生资源提出初步意见,仅供同道探讨。1 全区卫生资源的状况与分析 道里区是哈尔滨市的中心区,所辖17个街道办事处、3镇2乡,总面积471平方公里,全区人口为67万,人口密度城区23649人/平方公里,农村256人/平方公里。1.1 全区卫生资源现状 从城乡卫生资源配置的结构看,城区医疗机构重叠、卫生资源相对过剩。全区现有省、市直医疗机构18个;驻区厂企医院、卫生所达67个,内外都开放;社会办医机构已达10个,见日益增加;个体诊所多达133个,遍布全区;区属医疗机构22个,生存困难。还有大大小小的药店273个,使全区医疗、医药机构密如蛛网,医疗机构的过密和过剩是全区的一个突出问题。城市有卫生技术人员4733人,平均每千人有病床6张。而农村卫生资源不
The effective use and rational allocation of health resources is an important part of the health reform. In order to adapt to the socialist market economy and promote the development of health services, we investigated the status of health resources in Daoli District, Harbin City, and we now provide preliminary opinions on how to optimize the allocation of health resources, only for the purpose of discussion. 1 Status and analysis of health resources in the district Daoli District is the central area of Harbin City, with 17 sub-district offices, 3 towns, and 2 townships under its jurisdiction, with a total area of 471 square kilometers, a population of 670,000, and a population density of 23,649 people/ Square kilometers, rural 256 people / square kilometers. 1.1 Status of Health Resources in the Region From the perspective of the structure of urban and rural health resources allocation, urban medical institutions overlap and there is a relative surplus of health resources. There are 18 provincial and municipal direct medical institutions in the district; 67 factory hospitals and health clinics in the district have opened up inside and outside; 10 medical institutions have been established in the society, with increasing numbers; there are as many as 133 individual clinics spread throughout the country. District; District 22 medical institutions, difficult to survive. There are also 273 pharmacies, large and small, which make the medical and pharmaceutical institutions in the region dense like a spider web. The overcrowding and surplus of medical institutions is a prominent issue in the region. There are 4,733 health technicians in the city, with an average of 6 beds per 1,000 people. The rural health resources are not