公费医疗人群医改前后卫生服务需求比较

Comparing health services demand between before and after medical reform among the people with social medicine

医改实施后 ,公费医疗人群的卫生服务需求发生了明显的变化。⑴择医行为 :感到身体不适到医院就诊的频率有所下降 ,不按医生要求提前出院的频率上升 ,就诊流向基层医院 ;⑵择药行为 :家中存药“有不少”的频率下降 ,主要购药途径为“到药店买药”的频率上升 ;⑶选择大型设备检查行为 :就医时遵照医生要求做大型设备检查的频率下降。从宏观管理角度分析 ,这种行为选择趋势有利于卫生资源的合理有效利用 ,有利于控制医疗费用的过快增长 ,有利于实现社会保障的公平性。

Since medical reform, health services demand has changed significantly among the people with social medicine. Firstly, the hospitalizing frequency of the people who felt sick decreased, the frequency of the patients who left hospital ahead of schedule without the doctor's order increased, and more people went to basic hospital for treatment. Secondly, the drug stored at home decreased and more people bought drug in drug shop. Thirdly, the frequency of the patients who take grand medical equipment examination with the doctor's order decreased. From the point of macro management, those choices would help to use health resources rationally, control the medical expenditure increasing, and improve equity of the social security.