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北京市民主要健康指标接近或达到发达国家水平

2017-06-10 17:58:51   千龙网

截至2016年底,全市户籍居民平均期望寿命达到82岁,孕产妇死亡率为10.8/10万,婴儿死亡率降至2.2‰,甲乙类传染病报告发病率为138/10万。这些主要健康指标均已接近或达到发达国家平均水平。北京市确定了与河北燕达、张家口、曹妃甸、承德、保定五大医疗合作项目,提高了燕郊以及北京西北、东北、西南方向四个重要节点城市和地区的医疗服务水平,合理分流河北、内蒙古地区病人,有效缓解了北京地区医疗机构的压力。

健康水平不断提升

5年来,首都居民健康水平不断提升。截至2016年底,全市户籍居民平均期望寿命达到82岁,孕产妇死亡率为10.8/10万,婴儿死亡率降至2.2‰,甲乙类传染病报告发病率为138/10万,上述主要健康指标均已接近或达到发达国家平均水平。全市户籍人口出生率10.9‰,人口自然增长率4.3‰,优生优育服务持续改进;2016年,全市医疗机构总诊疗人次2.5亿,出院人次370.1万,同比分别增长6.1%和9.4%;全市各类传染病报告病例12.2万例,报告发病率为561.9/10万,未发生重大突发公共卫生事件。

北京市卫生资源人均占有量比较丰富,在全国名列前茅。截至2016年底,全市医疗卫生机构由2012年的9974家增加到10637家,增长6.6%;卫生技术人员由2012年的22万人增加到26.5万人,增长20.5%。全市医疗机构实有床位数由2012年的10万张增加到2016年的11.7万张,增长16.8%。医疗服务能力和服务效率显著提高。全市医疗机构总诊疗人次由2012年的2亿人次增长到2.5亿人次,增长26%,高于医生、床位数增长速度;全市医疗机构总诊疗出院人数由2012年的269.3万人次增长到370.1万人次,增长37.3%;医疗机构平均住院日由2012年的11.2天减少至9.6天。社会办医得到进一步发展。截至2016年底,全市共有社会办医疗机构4445家,占医疗机构总数的42.5%;床位数25499张,占医疗机构床位总数的21.7%。“十二五”时期全市累计培养住院医师9360人,7148人获得培训合格证书,财政累计投入4.6亿元。2014至2016年每年新招录2500名住院医师参加培训,在培规模每年5000人左右。

综合医改效果初显

从今年4月8日开始,北京市3600多家医疗机构同时启动医药分开综合改革:取消挂号费和诊疗费,设立了医事服务费;取消药品加成,实行阳光采购;调整医疗服务价格。4月8日至6月2日的监测数据显示,门急诊诊疗变化符合预期。三级医院总门急诊量与去年同期相比减少12.58%,二级医院总门急诊量与去年相比减少4.54%,一级医院及社区卫生服务机构门急诊量与去年同期相比增加7.6%。分级诊疗的态势逐渐呈现。出院人次与去年同期相比减少0.24%,显示出医改没有影响到住院患者的诊疗,总体平稳。改革以来,门急诊次均药费呈现平缓减少的趋势。

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