青岛家庭医生联系人和门诊统筹制度效果分析

Outcomes analysis for the family doctor contact system and outpatient coordination system in Qingdao

目的探讨青岛市家庭医生联系人和门诊统筹制度的实施效果。方法随机抽取试点社区的400位社区居民和576名门诊患者进行问卷调查，采用t检验和时间序列分析试点以来参加职工数变化情况、社区转诊情况、住院费用及个人负担比例、对社区卫生服务机构的影响。结果职工签约参保数量逐年增加，2010年达到1739931人；社区转诊住院比例提高，2010年达到56．97％，比2007年增加54．26％，住院费用和个人负担比例降低。结论青岛市家庭医生联系人制度和门诊统筹制度实施效果较好，职工参加的积极性较高，社区卫生服务机构也深受其益，值得推广。

Objective To study outcomes of the family doctor contact system and outpatient coordination system in Qingdao. Methods Random selection of 400 community residents and 576 outpatients for a questionnaire survey, using t tests and time series analysis. The purpose is to analyze the number of insured workers, community referrals, costs of hospitalization and the proportion of out-of- pocket payment, and impacts on community healthcare services. Results Number of insured works increased year by year, up to 1,739,931 in 2010. The proportion of community referred hospitalization was raised to 56.97% in 2010 and increased 54. 26% compared to 2007. Hospitalization costs and the proportion of out-of-pocket payment were reduced. Conclusion The family doctor contact system and outpatient coordination system in Qingdao proved a success, as the practices were highly popular among the employees, and benefited community health centers as well, making it worthwhile to promote.