从患者视角探讨大型公立医院的发展现状

Discussion on the Development Situation of Large Public Hospital from Patients Perspective

目的比较两三甲医院患者市场的差异,找寻资源利用的不合理所在。方法通过市场调查,结合资料检索,运用SPSS软件分析不同医院患者市场的差异。结果 M医院患者市场广阔,有40%的市外患者,认为M医院为就医第一选择的有59.3%,N医院41.9%患者为该院医保定点患者,88.9%的患者有选择其他医院就诊倾向。结论同是湖北省首批三甲的M、N医院在患者市场差异显著,M医院占据武汉很大一部分的医疗市场,N医院只能依靠医保定点及微弱的地理资源处在力求生存的位置。政府在政策投入上应有所偏向,干预M型医院的粗放式发展,鼓励N型医院多元化发展。

Objectives To find the unreasonable utilization of resources by comparing the difference of the sources of the patients in two upper first-class hospitals. Methods The difference of the sources of different hospitals were analyzed by market investigation and data retrieval with the SPSS software.Results Hospital M had a large resource of patients,in which 40% was from out of the city,and 59.3% of patients considered that the hospital as the first option. Hospital N can offer the medical insurance to the patients who covered 41.9% of the total,and 88.9% of the patient preferred advanced hospitals.Conclusions There are obvious differences between the two upper first-class hospitals in the first group of Hubei province. Hospital M takes the procession of a relatively advanced source of patients. Compared with Hospital M,Hospital N depends on offering medical insurance and a relatively advanced position,and has a scanty subsistence. The government should adjust the policies in medical care,transfer Hospital M form extensive type to intensive type and encourage the pluralistic development of Hospital N.