摘要
目的构建分级诊疗、急慢分治的有序就诊模式势在必行,是深化医改的必然方向和重要突破口,更是解决群众看病难、看病贵问题的治本之策。本研究探讨长汀县2016年分级诊疗现状,为推行分级诊疗提供建议。方法采用实地调研的方法,收集2016年长汀县医疗机构门诊、住院、病床使用及住院患者流向情况,对其进行描述性分析。结果基层医院人均门诊和住院费分别为61.68元和1 678.36元,均低于县级医院的108.64元和4 552.41元。2016年长汀县基层医院病床使用率为106.57%,高于县级医院的91.14%。从住院患者的就诊流向来看,长汀县住院患者流向乡级、县级和县外分别为38 573人次(51.02%)、26 329人次(34.83%)和10 826人次(14.32%),县域内住院就诊率达85.85%。结论长汀县患者流向趋于合理,合理的就医秩序基本形成,分级诊疗格局已初步形成。
OBJECTIVE It is imperative to establish an orderly medical treatment model of hierarchical diagnosis and treatment as well as swift and separate treatment.This is an inevitable direction and an important breakthrough for deepening medical reform,and it is also a radical solution to the difficulty of the medical service for the general public and expensive medical treatment.This study aims to explore the status quo of hierarchical diagnosis and treatment in Changting County in 2016,providing suggestions for further implementation of hierarchical diagnosis and treatment.METHODS By using the method of field research,the outpatient,inpatient,bed use and inpatient flow of Changting County medical institutions in 2016 were collected and analyzed descriptively.RESULTS The per capita outpatient and hospitalization fees were 61.68 yuan and 1 678.36 yuan respectively,which were lower than 108.64 yuan and4 552.41 yuan in county-level hospitals.In 2016,the utilization rate of beds in primary hospitals in Changting was106.57%,which was higher than 91.14%in county hospitals.According to the flow direction of inpatients,38 573 inpatients(51.02%),26 329 inpatients(34.83%)and 10 826 inpatients(14.32%)flowed to the hospitals at township,county and out-of-county levels,respectively.The hospitalized rate in Changting County reached 85.85%.CONCLUSIONS In Changting County,the flow of patients tends to be reasonable,and a reasonable medical order has been basically formed.The hierarchical diagnosis and treatment pattern has been taken shape.
作者
刘小梅
楼烨
张燕萍
邱道尊
郑振佺
LIU Xiao-mei;LOU Ye;ZHANG Yan-ping;QIU Dao-zun;ZHENG Zhen-quan(School of Public Health,Fujian Medical University,Fuzhou350108,P.R.China;Department of Public Infrastructure,Fujian Health Career Technical College,Fuzhou350101,P.R.China;Changting County Audit Bureau,Changting366300,P.R.China)
出处
《社区医学杂志》
2018年第17期1345-1347,共3页
Journal Of Community Medicine
关键词
分级诊疗
长汀县
医联体
双向转诊
hierarchical diagnosis and treatment
Changting county
medical union
two-way referral