深圳市社区卫生服务就诊费用及其影响因素分析  

Analysis of medical expenditure and its influential factors of community health services in Shenzhen

作　　者：江捍平 刘军安[2] 程锦泉[3] 彭绩[3] 杨德华 李谨邑[2] 卢祖洵[2] 

机构地区：[1]广东省深圳市卫生局,深圳518020 [2]华中科技大学同济医学院公共卫生学院,武汉430030 [3]广东省深圳市慢性病防治院,深圳518020 [4]广东省疾病控制中心,广州510000

出　　处：《中国卫生经济》2006年第12期31-34,共4页Chinese Health Economics

基　　金：国家自然科学基金课题(项目编号:30371233);广东省科技厅立项课题(项目编号:A2003691)

摘　　要：目的:分析深圳市社区卫生服务就诊费用和费用构成,比较各级医疗机构的常见病和慢性病的就诊费用。方法:采取描述性方法对就诊费用的分布、构成和费用比较进行分析,对费用影响因素采取广义线性回归分析技术进行统计处理。结果:社康中心(即社区健康服务中心)平均就诊费用36.00元;药品费是社康中心收入的主要来源,占61.70%;在单病种费用比较上,社康中心单病种费用明显低于镇级、区级和市级医院的费用。结论:深圳市社区卫生服务的费用是比较经济的,在合理分流病人中发挥了重要的作用。Objective To analyze medical expenditure and cost structure of community health services, and to compare expenditures of ordinary illness and chronic diseases in different hospitals. Methods The authors use descriptive analysis method to study medical expenditure distribution, cost structure, and difference of expenditure, and employ generalized linear regression to analyze influential factors of medical expenditure. Results Average medical expenditure of center of community health services （CCHS） is 36 dollars （RMB） , and drug charge is main income of CCHS, account for 61.7%. at the same time, expenditure of single disease treated in CCHS is lower than in township, regional and civil hospitals . Conclusion Medical expenditure of CCHS in Shenzhen is lower, and CHS of Shenzhen plays an important role in forming rational patient flow direction.

关 键 词：社区卫生服务 就诊费用 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]