摘要
目的了解社区卫生服务中心开设家庭病床的基本情况,为卫生管理决策提供科学依据。方法对2006年1月1日-2007年6月30日新港社区卫生服务中心家庭病床登记册中的患者进行调查,分析患者基本情况、疾病构成、活动能力、医疗费用支出情况及其影响因素。结果在1204例家庭病床患者中≥60岁的老年人1160例,占96.35%;疾病构成以中风、高血压、冠心病、糖尿病、老慢支为主,同时患有2种及以上慢性疾病者为899例,占74.67%;有分3/4以上患者到医院就诊很困难,需要依靠家属陪伴;患者负担的医疗费用每人每月平均438.83元,其中人均自费50.20元。结论家庭病床的需求日益增大,发展和完善家庭病床医疗服务具有重要意义。
Objective To investigate the fundamental situation of family beds in Shanghai city, and to offer the basis of health administration. Methods Patients" basic situation, disease constitute, activity of daily living, medical expenditure were analyzed in 1 204 patients who received family care bed service in Xin'gang community in Hongkou district. Results In the 1 204 patients,96.35% patients was older than 60 Years old, the main diseases were apoplexy, hypertension, coronary heart disease, diabetes and senile chronic bronchitis. 899 patients (74.67%) had 2 or more than 2 kinds of diseased;More than three-fourths patients had difficulty in going to hospital;Medical expenditure for each patient was 438.83 RMB per month. Conclusions The development of family beds is important in community health service.
出处
《实用全科医学》
2007年第11期1002-1003,共2页
Applied Journal Of General Practice
关键词
卫生事业管理
家庭病床
慢性病
老年保健
社区卫生
Health management
Family bed
Chronic disease
Aged health care
Community health service