天津市医院接收异地就医患者现状调查

Survey of acceptance of non-local patients by hospitals in Tianjin

目的了解天津市参加异地就医联网的医院接收异地患者的现状，为进一步完善异地就医管理提供思路与建议。方法通过医院网络系统，核实被调查医院2016年异地结算住院患者5306人，对医院接收异地患者的就医流向进行分析。同时，对天津市参加首批异地就医联网结算签约的8家医疗机构的医务人员进行问卷调查。结果异地结算患者中，年龄≥60岁人群占到82．31％。有48．55％的异地患者住院选择在国家级重点学科，有30．53％的患者选择在市级重点学科。在876名被调查医务人员中，选择愿意接收异地参保患者就医的人数占到78．08％。结论应根据我国异地就医产生的社会根源和异地就医人群的需求分析，对合理需求的异地就医人群完善各项管理，对非合理需求的异地就医人群用制度加以疏导。

Objective To learn the present acceptance of patients from outside Tianjin by local hospitals, for improving the management of their medical services. Methods A study of the hospitals＇ network system identified 5 306 inpatients from other places in 2016 as evidenced by their hospital settlement account, with analysis of the patient flow from other places by the hospitals surveyed. Medical workers of eight medical institutions which signed the online settlement contract for non-local patients were subject to questionnaire survey. Results Of the 876 respondents, the number of patients willing to receive non-local insured patients accounted for 78.08%. Non-local patients aged 60 or above accounted for 82.31% among the total non-local patients, of whom 48.55% selected hospitals with national key disciplines, and 30.53% chose those with munieipal key disciplines. Conclusions An analysis is required for the demand of non- local patients in terms of the social background and population characteristics. Based on such, non-local patient population needs a better management while those with irrational needs should be diseouraged with rules and regulations.