一日门诊的调查与分析

Investigation and analysis of outpatient services for one day

目的 为掌握在基本医疗保险全面实施以前获得较准确的患者信息 ,了解医院所处地位、病患需求 ,从而预测医疗保险实施后的门诊病源趋势。方法 采用现况整群抽样调查法 ,通过问卷方式对医院门诊患者的来源、保障方式、就诊科别、就诊目的及门诊疾病结构等情况进行一日门诊调查与分析。结果 全日调查统计 380 6例门诊患者 ,分别就诊于 2 5个专业门诊。结论 新的医疗保险制度的实施会对医院的门诊量带来一定的影响 ,面对新形势 ,采取应对策略 ,根据市场需求发挥医院优势。

Objective To obtain fairly exact patient information before the implementation in an all-round way of the basic medical insurance system and find out about the current situation of the hospital, the needs of patients, etc. so as to predict the trends of outpatient sources after the implementation. Methods Using the status-quo whole sampling survey method, an imvestigation and analysis on the outpatient services for one day was made by means of questionnaires, including the sources of outpatients to the hospital, the form of medical security, the specialties involved, the aims of patients visits, and the spectrum of outpatient diseases. Results The investigation covered 3 806cases of outpatients during the whole day and involved 25 specialties. Conclusion Adoption of the new medical insurance system will produce some impact on the outpatient volume of the hospital. Under the new situation, it is imperative to take appropriate strategies and give play to the strong points of the hospital according to the demands of the market.