医改前后门诊患者就医流向及原因浅析  

Change of outpatients’ visits of health institutions and the causes

作　　者：蔡敏 钱军程 

机构地区：[1]国家卫生计生委统计信息中心

出　　处：《中国医院统计》2015年第4期241-244,248,共5页Chinese Journal of Hospital Statistics

摘　　要：目的了解医改初期门诊患者首诊流向变化，分析就诊患者的行为原因，为合理引导患者就医提供依据。方法利用2008年第4次国家卫生服务调查的数据以及2011年医改阶段性评价调查的数据，分析不同特征就诊患者就诊机构的特点和变化及影响患者选择就诊机构的因素。结果医改实施三年后，门诊患者就医流向有向基层转移的趋势。结论政策制定利于患者向基层转移，但如何提高基层医务人员的技术、能力，改善基层设施，满足患者药品需要，满足基层就医患者需求，进一步将患者留在基层，应进一步思考。Objective To learn about the change of outpatients＇ visit behavior status, to analyze the reason, and to pro- vide reference for guiding patients＇ visit behavior around HSR. Methods Using the data of the 4th China National Health Serv- ices Survey in 2008 and Health System Reform evaluation survey in 2011, we analyzed the change and influencing factors associ- ated with outpatients＇ visit behavior. Results Three years after HSR, more outpatients saw doctors at basic institutions. Con- clusion The policy of HSR is good for more outpatients visit at basic institutions, but further consideration about how to make outpatients stay in basic institutions should be considered.

关 键 词：国家卫生服务调查 医改阶段性评价调查 就诊流向 

分 类 号：R197.32[医药卫生—卫生事业管理]