摘要
上海市卢湾区医务人员在区政府各有关部门支持下 ,自 1994年起在全区建立社区特困老人医疗服务的社会救助网络。 4年来 ,特困老人年人均门诊 3 9次 ,年人均受访视 2 2次 ,78 1%的患病特困老人疾病好转或稳定 ;年均住院利用率 5 4% ,89 5 %的患大病特困老人住院治疗后疾病痊愈或好转出院。特困老人次均门诊费用较劳保公费老人组下降 32 1% ,日均住院费用和次均住院费用分别较医保老人组下降 2 1 5 %和 30 4%。作者认为 ,卢湾区特困老人医疗服务的社会救助网络是一项操作性较强、行之有效的社区特困老人医疗保障体系 ,实施后取得了良好的社会反响。
Supported by various departments concerned of the district government, medical workers in Luwan District of Shanghai started in 1994 to set up in the whole district community based social help network for the medical care of SCGFD. In the last 4 years, the annual outpatient volume of SCGFD averaged 3.9 times and the annual visits received by SCGFD averaged 2.2 times. The conditions of 78.1% of SCGFD suffering from an illness turned for the better or became stable. The annual hospitalization utilization ratio averaged 5.4%. After hospitalization, 89.5% of SCGFD suffering from a serious illness fully recovered from their illness or were discharged after turning for the better. The average outpatient expenses per time, hospitalization expenses per day and per time of SCGFD respectively dropped 32.1%, 21.5% and 30.4%, as compared with the group of senior citizens enjoying free medical care. The authors hold that the social help network for the medical care of SCGFD in Luwan District is an easy to operate and effective community based medical security system for SCGFD. It has produced sound social repercussions after being put into practice. The controlled use of medical funds has ensured the normal operation of the network.
出处
《中华医院管理杂志》
北大核心
2000年第12期754-756,共3页
Chinese Journal of Hospital Administration
关键词
城市社区卫生服务
特困老人
免费医疗
Urban community
Senior citizen with great financial difficulties
Free medical care
