我国七县区农村居民再入院现状分析  

Empirical Study on Current Readmission in Rural Areas of 7 Counties and Districts in China

作　　者：牛亚冬 刘文俊[1,2] 段磊[1,2] 徐源[1,2] 张研[1,2] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,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41-44,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71273099)

摘　　要：目的:了解农村地区再入院现状,为分级诊疗制度的推行提供政策建议。方法:从东中西部地区随机选择7个样本县区,以2012—2013年新农合数据库作为数据来源,利用Excel 2010编程技术和函数筛选出30天内再入院数据,利用SPSS20.0对再入院患者进行描述性分析。结果:7个县区再入院率平均水平为9.03%,地区间差异较大,县乡跨级再住院率平均水平不足23%;再入院疾病以慢性病、复杂病为主。结论:诊疗范围的确定需要考虑到同级别医疗机构之间诊疗能力的差异;跨级再入院比例低,服务供给不整合;经济因素影响再入院;再住院疾病构成利于分级诊疗推行。Objective： To acquire the current situation of readmission in rural areas, providing advices for performing of hierarchical diagnosis system. Methods： 7 sample counties and districts from the eastern, middle and western regions were randomly selected. Based on the new rural cooperative medical system （NCMS） database between 2012 and 2013, Excel 2010 programming technology and flmctions were applied to select the data of readmission within 30 days. SPSS 20.0 was used to conduct descriptive analysis on patients with readmission. Results： The average level of readmission rate of 7 counties was 9.03%. There was great gap among different regions. The average level of muhi-institutional readmission rate was less than 23%： chronic disease and complex disease were the main diseases of readmission. Conclusion： The define of diagnnsis range needed to consider the differences of diagnosis abilities among institutions with the same level; muhi-institutional readmission rate was relatively low, the service supply was not integrated; economic factors effected on readmission： the constitution of readmission would benefit the performing of hierarchical diagnosis system.

关 键 词：农村 再住院 新型农村合作医疗 分级诊疗 整合服务 

分 类 号：R197.1[医药卫生—卫生事业管理]