大数据理念下居民医疗服务利用监测研究  

Study on the medical services monitoring under the concept of big data

作　　者：张研[1,2] 段磊[1,2] 张亮[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,湖北武汉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,湖北武汉430030

出　　处：《中国卫生政策研究》2017年第7期71-74,共4页Chinese Journal of Health Policy

基　　金：国家自然科学基金青年项目(71603088)

摘　　要：居民医疗服务利用监测是卫生政策管理与研究的重要内容之一。国家卫生服务调查、居民医保就诊数据等传统的服务利用监测存在成本高、偏倚大,监测指标更新缓慢,无法满足新时期的卫生管理决策等问题。多数据源的数据衔接与再构架为居民服务利用监测提供了新的思路,通过Access数据库管理与Excel的编程技术能够实现不同数据源的对接,同时构架出居民年度医疗服务利用等具体问题的新数据库,从而反映居民的年度服务利用、居民就诊偏好、不合理的服务利用行为等,推动居民医疗服务利用监测研究的发展。Medical service utilization monitoring of county areas residents is one of the important contents of health policy management and research. Traditional service utilization monitoring, such as National Health Services Survey （ NHSS）, residents heahhcare treatment （clinical） data from medical insurance, had problems of high cost, large deviation, slowly updating monitoring indicators, out of time in health management decisions. The data conver- gence and re-architecture of muhi-source data provide a new idea for the monitoring of residents＇ service utilization. Different linking data-sources would come true with the tools of Microsoft Access database administration and Excel programming techniques. At the same time, a new database would be accessed with the indices of residents＇ annual medical service utilization, preference in medical services, unconscionable service utilization, and lead to the promo- tion of medical service utilization monitoring research development.

关 键 词：国家卫生服务调查 医疗服务利用 监测 大数据 

分 类 号：R197[医药卫生—卫生事业管理]