中国医院竞争力报告（2023）
中文摘要
《医院蓝皮书：中国医院竞争力报告（2023）》是根据广州艾力彼医院管理中心（GAHA）构建的全国综合性医院之顶级医院100强、省单医院100强、地级城市医院500强、县级医院500强、中医医院500强，以及专科医院之肿瘤医院80强，妇产、儿童医院100强等医院竞争力排行榜，以分层分类为重点，通过横向和纵向的对比研究、总结分析而成的年度行业报告。本报告秉持“数据说话，时间说话”的原则，通过统计分析、文献检索、数据比较、定量和定性分析的方法对全国3000多家不同层级、不同类别的医院进行系统分析，挖掘目前国内在医疗资源配置、提质增效等方面存在的问题，探索医院高质量发展的新思路，为医院管理者提供有价值的决策参考。
本报告主题为“提质增效 促进医院新效能提升”，根据2021～2022年中国医院竞争力15个排行榜的结果对中国医院进行分层分类分析，以提供医院发展的参考标杆。一是通过对医疗资源配置方面进行分析，发现医疗资源发展不平衡和分布不均衡的问题仍然存在，东部地区各个类型的医院都占有绝对的竞争优势。未来国家医疗资源需要整体向中西部倾斜，并向人口密集、基础薄弱的省份倾斜。从医院运营效能方面来看，顶级医院、地级城市医院、县级医院之间总收入的差距大于人均收入。对比七大地区不同层级榜单的数据，发现华中地区各层级医院总收入差距较大，华北地区各层级医院的人均收入差距较大。西北地区没有县级医院进入百强，说明西北地区县级医院医疗资源配置投入和医疗服务能力有待提升。二是从不同角度研究粤港澳大湾区城市群的医疗发展现状和整体水平，并对2021年粤港澳大湾区最佳医院100强进行横向和纵向的对比分析。研究发现，粤港澳大湾区优质医疗资源主要集中在香港、广州、深圳三个城市，其中广州、香港优质医疗资源最丰富、医院综合竞争力最强，深圳发展潜力巨大。在学科建设上，香港处于国际领先地位。未来可推动粤港澳大湾区城市群间的医师、护士互认，充分发挥香港、澳门、广州、深圳四大中心城市的引领作用，实现资源互补，打造面向国际的粤港澳大湾区医疗高地。三是从医疗技术、资源配置、提质增效、医院运营、学术科研等维度对上榜医院进行综合分析，发现东部地区的医院依然有绝对的竞争优势，而西部地区的县级医院在医疗服务能力方面正逐步缩小与东部和中部地区的差距。
近年来，虽然各地医疗资源分布不均的现象依然存在，但是随着医联体、医共体建设的深化，相信未来县级医院的医疗技术、服务能力将得到进一步提升，群众就近就医的问题也将得到进一步解决。
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