我国七县区农村居民跨级住院特征分析  

Analysis on Multi-institutional Readmission Characteristic of Rural Residents in 7 Counties and Districts of China

作　　者：段磊[1,2] 张研[1,2] 刘文俊[1,2] 张亮[1,2] 

机构地区：[1]华中科技大学医药卫生管理学院,武汉430030 [2]湖北省人文社科重点研究基地农村健康服务研究中心,武汉430030

出　　处：《中国卫生经济》2016年第4期38-41,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71273099)

摘　　要：目的:通过对我国东中西部7个县区2012—2013年两系统疾病两级住院病历及新农合资料研究,明确我国农村地区县域内乡县跨级再入院服务的水平和特征。方法:通过新农合信息匹配,筛选出2012—2013年间630套两系统疾病跨级住院病历,采用SPSS 13.0对数据进行分析。结果:57.46%的再入院患者通过转诊进入上级医疗机构;再入院原因为前期疾病未得到治愈的患者占所有再入院患者人数的80.79%;患者住院时间间隔均数为5.49天,当天转院的比重为44.13%。结论:转诊是患者再入院的主要方式,再入院的最主要原因为疾病在乡镇卫生院未能得到治愈,乡镇卫生院首诊不规范,存在病情延误的风险。Objective： Based on the research of New Rural Cooperative Medical System （NCMS） and the two-level medical records under these two systems in 7 counties in the eastern, middle and westeru region of China from 2012 to 2013, the levels and characteris- tics of readmission in rural areas. Methods： Based on the information matching of NCMS, 630 readmission cases of two-level medical records under these two systems hetween 2012 and 2013 were selected and analyzed by SPSS 13.0. Results： 57.46% of the readmission patients entranced to higher medical institutions by transferring for treatment; patients took readmission because of uncured diseases ac- counted for 80.79%; it took an average of 5.49 days for readmitting; 44.13% of patients were transferred on that very day. Conclusion： Transferring for treatment was the major method of readmission, and the main reason for that was not cured at township healthcare cen- ters, the first diagnosis was not regulated at township healthcare centers which had risks for delayed diagnosis.

关 键 词：农村 再入院 跨级住院 乡镇卫生院 县级医院 

分 类 号：R195[医药卫生—卫生统计学]