Development and Current Situation of Service Capacity in Primary Medical Institutions in China

Abstract：Objective To analyze the development and current situation of service capacity in primary medical institutions.Method Data was obtained from the China Statistical Yearbook of Health and Family Planning.Service capacity was evaluated from medical sources and service output.Absolute service capacity was evaluated by the absolute value of indexes,and relative service capacity was evaluated by the relative value of indexes (primary medical institutions vs hospitals).Result At present,medical resources in primary medical institutions were less than 50％ of the hospitals;the number of outpatient service was 135.8％ of the hospitals,but the number of inpatient service and the amount of business income were less than 30％ of the hospitals.The absolute value of medical resource and service output in primary medical institutions were increasing from 2009 to 2015 (17.1％).The highest annul increasing rate belonged to medical facility that was more than 5 hundred thousand yuan.However,the relative value of medical resource and service output were decreasing (-10.4％).The highest annul decreasing rate belonged to inpatient service.Conclusion The service capacity in primary medical institutions was a little bit low.Although the absolute service capacity of primary medical institutions was increasing consistently,but the relative service capacity was decreasing.Horizontal competition among hospitals and vertical cooperation among hospitals and primary medical institutions may bring help to the development of primary medical institutions.