我国公立综合医院急诊比例现状分析  

Status quo analysis on proportion of emergency departments visits in general public hospital in China

作　　者：郑黎强[1] 纪超[1] 岳阳阳[1] 于慧清[1] 郭佳凯[1] 柴英杰[1] 王卓非[1] 潘楠[1] 郭传骥[1] 裴冬梅[1] 姚品[1] 黄金玲[1] 王毅 王斐 郭启勇[1] 

机构地区：[1]中国医科大学附属盛京医院 [2]国家卫生和计划生育委员会

出　　处：《中国医院》2017年第3期23-26,共4页Chinese Hospitals

摘　　要：目的:了解国内公立综合医院的急诊比例分布现状。方法:选取《中国二、三级医院医疗服务能力》基线调查中具有急诊比例的452所二级医院和149所三级医院进行分析。结果:国内急诊比例呈偏态分布,二级医院的中位数为7.26%,低于三级医院的8.11%(P=0.027)。无论二级医院还是三级医院,急诊比例在东中西部的比较都呈现出东部最高;二级医院的急诊比例北方高于南方(8.61%vs 6.04%,P<0.001),但是三级医院急诊比例在南北方之间差异没有统计学意义(P=0.170)。二甲医院急诊比例高于二乙医院(8.01%vs 5.66%,P<0.001);但是,三甲医院的急诊比例却明显低于三乙医院(7.75%vs 11.00%,P=0.032)。结论:国内公立综合医院的急诊比例成偏态分布且总体水平偏低,在不同区域之间存在不均衡,不同等级医院之间存在明显差异。建议未来进一步研究该指标在分级诊疗实施过程中的评价作用,并逐步制定出符合国情的急诊比例参考指标值,从而更好地推动和实现分级诊疗。Objective： To learn the current distribution status of proportion of emergency departments visits （PEDG） in the general public hospital in China. Methods： A total of 452 secondary and 149 tertiary general hospitals which have completed PDEG data from the Baseline Survey of Healthcare Service Capacity for Chinese Secondary and Tertiary Hospitals were selected and analyzed. Results： The median of PDEG in secondary hospital was 7.26%, which is lower than that in tertiary hospital （8.11%, P=0.027）. The PDEG in eastern region is higher than that in central and western regions in both secondary and tertiary hospitals. For secondary hospital, the PDEG is also higher in northern than that in southern regions （8.61% vs 6.04%, P〈0.001）. In addition, the PDEG in grade 2A hospitals is higher than that in grade 2B hospitals in secondary hospitals （8.01% vs 5.66%, P〈0.001）.However, for tertiary hospitals, the PDEG in grade 3A hospitals is obviously lower than that in grade 3B hospitals （7.75% vs 11.00%,P=0.032）. It also shoes that there is no significant gap between hospital in south and in north（P=0.170）. Conclusions： The PDEG is skewed distribution and the level of PDEG is lower in Chinese general public hospital. However, there are inequalities on PDEG distribution among the regions and grades. Further studies regarding the role of PDEG on hierarchical medical system should be encouraged in China.

关 键 词：公立医院 综合医院 急诊比例 分级诊疗 

分 类 号：R197.3[医药卫生—卫生事业管理]