各级医疗机构家庭病床常见慢性病的费用及其构成情况调查分析

Survey on Expense of Family Bed Related with Common Chronic Diseases and Its Proportion at Different Level Medical Organizations.

通过对我市的省、市、区三级医院家庭病床科以及社区卫生服务中心家庭病床 6种常见慢性病的费用及其构成的调查分析得出 :不同级别医院家庭病床总费用、日均费用均有显著性差异 (P<0 .0 5 ) ,医院级别越高 ,家床费用也越高 ,且公费病人的日均费用明显高于自费病人。区级及以下医疗机构尤其是社区服务中心的家床是最经济的 ,其社会效益和经济效益巨大。为此 ,应完善相关配套政策 ,理顺社区与上级医院的关系 ,建立双向转诊制度 ,以最大限度满足老年人就近服务的保健需要求。

We surveyed on and analyzed the expense of family bed related with common chronic diseases and its proportion at different level medical organizations, which were province, civil and district three tier medical organizations and community health service center. The result showed that there were significant differences in total medical expense per patient and average medical expense per day per patient among different level hospitals (P<0.05). The higher level of hospital, the higher expense. The average medical expense per day for patients with free medical insurance was higher than that of patients at own expense. Family bed in district hospital and below, in particular community health service center was the most economic and had greatest social benefit and economic benefit. It was necessary to perfect the corresponding policies and strengthen out relationship between community health service station and its senior medical organizations, and establish the two-way referral system to satisfy the demand on getting medical service nearby for the elderly. Authors′address Health Management College, Dalian Medical University, Liaoning Province. P.R.China.