我院门急诊患者一日就诊情况的统计分析  

Statistical analysis of visits by emergency outpatients to our hospital for one day

作　　者：王治[1] 叶玉琴[1] 杨敦干[1] 江国柱[1] 

机构地区：[1]中国医学科学院北京协和医院,100730

出　　处：《中华医院管理杂志》2002年第5期280-282,共3页Chinese Journal of Hospital Administration

摘　　要：目的　为掌握我市在实施基本医疗保险制度改革以前城市大医院门急诊患者就诊的基本情况。方法　采用剖面调查问卷的方式对门急诊患者的医疗保障方式、患者来源、患者转诊以及医生评价 4个方面进行调查研究。结果　现阶段城市大医院门急诊的特点是有较高的医疗需求和吸引力 ,拥有覆盖面较广的病人来源 ;具有较强的临床综合优势。同时 ,在实施基本医疗保险制度改革以前 ,现存的医疗保障体系正处于过渡转型时期 ,种类较多 ;医疗保障覆盖面相对较窄 ,自费病人比例较高。结论应积极推进医疗保险制度改革 ,建立适合我国国情的区域卫生规划 ,扩大社区医疗保健功能。Objective To grasp the basic situation concerning visits by emergency outpatients to big urban hospitals before the implementation of reform in the medical insurance system in our city. Methods An investigation was made by means of profile survey questionnaires into the form of medical security of emergency outpatients, the sources of patients, referrals of patients, and the evaluation of doctors. Results Current emergency outpatient services in big urban hospitals have the following features: fairly great medical demands and attraction, widespread sources of patients, and pretty strong advantages in comprehensive clinical treatment. At the same time, before the implementation of reform in the basic medical insurance system, existing medical security setups, which are in the stage of transition, are characterized by a variety of types, a pretty narrow coverage in the provision of medical security and a rather high proportion of self-paying patients. Conclusion It is imperative to actively promote reform of the medical insurance system, formulate regional health plans that conform to the situation in our country, and expand the functions of community medical healthcare.

关 键 词：医疗保险制度改革 医院门诊 社区医疗保健 医疗市场竞争 城市大医院 

分 类 号：R197.3[医药卫生—卫生事业管理]