基本医疗卫生制度对居民基层卫生机构门诊服务利用的影响  

Impact of Basic Medical and Health Care System on Outpatient Services Utilization in Community Health Organizations

作　　者：郑文贵[1] 马安宁[2] 王培承[2] 李长祥[3] 王象斌[3] 单杰[3] 王宪祥[3] 张大勇[3] 李战胜[3] 

机构地区：[1]山东大学公共卫生学院,济南250012 [2]潍坊医学院,山东潍坊261061 [3]潍坊市卫生局,山东潍坊261061

出　　处：《中国卫生经济》2010年第10期38-39,共2页Chinese Health Economics

基　　金：世界卫生组织;英国发展计划署;中华人民共和国卫生部中国卫生政策支持项目(HPSP)(HPSP2007002)

摘　　要：目的:分析基本医疗卫生制度实施对居民基层卫生机构门诊服务利用的影响。方法:实验研究前后,分别按照整群随机抽样方法抽取部分居民,利用统一调查表进行入户面对面访谈,获取居民就诊流向、门诊服务利用及费用等资料。结果:与对照县和基线调查结果相比较,项目县居民基层卫生机构就诊比例提高,应就诊未就诊率略有下降,门诊次均费用下降,个人自付比例降低。结论:基本医疗卫生制度的实施促进了居民对基层门诊服务的利用,居民就医可得性和可及性提高。Objectives： To analyze the impact of implementation of essential healthcare system on the utilization of outpatient ser-vices of residents in community health organizations.Methods： Before and after the pilot study,stratified random sampling was con-ducted and the selected households were investigated using questionnaires to collect information about the outpatient services utilization.Results： Compared with control counties and baseline survey,residents in experimental counties had a higher percentage of service u tilization in community health organizations,the rate of not seeking health care reduced,and cost per outpatient visit and the percentage of OOP decreased.Conclusions： The implementation of essential healthcare system improved the utilization and access of outpatient services of residents.

关 键 词：基本医疗卫生制度 门诊服务利用 可及性 实验研究 

分 类 号：R197.1[医药卫生—卫生事业管理]