摘要
通过对红岩社区卫生服务中心门诊疾病构成与费用情况的调查 ,以了解本地区的社区门诊疾病谱及其特征 ,从而为确定解决社区常见健康问题的临床策略和方法提供依据。方法 :按照随机的原则 ,随机抽取该中心 2 0 0 1年门诊处方 12 0 0份 ,进行疾病构成及费用情况的统计分析。结果 :门诊疾病构成以感冒、胃炎、高血压等常见病、多发病和诊断明确的慢性病为主。每张处方平均费用为 36 30元 ,医保每张处方平均费用 (5 1 2 0元 )明显高于现金支付 (30 10元 ) ,P<0 .0 1。药费所占比例较高 ,占 81 98%。结论 :社区门诊服务利用是经济的 ,单处方费用明显低于大型综合医院 ,较好的节约了卫生资源 ,且以常见病、多发病为主。因此应制定相应政策 ,合理引导病人 ,形成“小病在社区 ,大病进医院”的就医新格局。
Objectives. Through investigating diseases and expense of outpatient in center of Hongyan community health service, to know the constitution of diseases and its characteristics to supply references for establishing more proper clinic strategies and methods to solve common health problems. Methods. Randomly sampling 1200 outpatients' prescriptions from the center and doing statistics about the constitution of diseases and expense. Results. Most of the diseases in this center are common diseases, frequently-occurring diseases and chronic diseases diagnosed, such as cold, gastritis, hypertension, and so on. The average expense per prescription is 36.30 RMB. The average expense per prescription for patients with medical insurance (51.20 RMB) is higher than that of patients with out-of-pocket (30.10 RMB), p<0.01. The medicine expense is much higher than that of other items, and the proportion is about 82.2%. Conclusions. Community health service is economic. The medical expense per prescription is much lower than that of large comprehensive hospitals and saves health resources to a certain extent. Most of the diseases are common diseases and frequently-occurring diseases. So the proper policies should be formulated to encourage patients to go to center of community health service when they get common diseases. Authors′address School of Health Management, Dalian Medical University, Dalian, Liaoning Province, P.R. China.
出处
《中国卫生事业管理》
2003年第2期74-76,共3页
Chinese Health Service Management
