从某大型公立三甲医院门诊疾病构成分析看“分级诊疗”  

Analysis of the"Hierarchical Diagnosis"based on the analysis of outpatient disease composition in a large public GradeⅢLevel 1 hospital

作　　者：傅新巧[1] 袁莉[1] 胡梦含 张菡 万杰 FU Xinqiao;YUAN Li;HU Menghan;ZHANG Han;WAN Jie(Union Hospital Affiliated Tongji Medical College Huazhong University of Science&Technology,Wuhan,430022,Hubei Province,PRC)

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北省武汉市430022

出　　处：《中国医院》2020年第4期30-32,共3页Chinese Hospitals

基　　金：湖北省卫生健康委员会项目(WJ2019D004)。

摘　　要：分级诊疗是解决百姓看病难、看病贵的核心制度之一,其理念聚焦于"小病在基层、大病到医院、康复回基层"。作者选取一所大型公立三甲医院,对其门诊病人量及构成进行分析,发现大型医院的门诊量增长率显著高于全国平均水平,医生人均接诊量仍在增长;接诊疾病范围广、复杂、重症病人多,但是慢性病、常见病占其接诊病人比例仍较高,且以慢性病为主的专科病人增长率显著高于医院平均值。研究结果提示:分级诊疗的实质落地仍然需要更进一步强有力的约束措施。Hierarchical diagnosis and treatment is one of the core systems to solve the difficult and expensive medical treatment of ordinary people.Its concept focuses on"minor illness at the grassroots level,major illness to the hospital,and rehabilitation to the grassroots level."The author selects a large public third-level hospital to analyze the number and composition of outpatients,and finds that the growth rate of outpatients in large hospitals is significantly higher than the national average,and the number of doctors per capita is still increasing;the scope of the disease is wide and complex There are many serious patients,but the proportion of chronic diseases and common diseases in their patients is still high,and the growth rate of specialty patients mainly with chronic diseases is significantly higher than the hospital average.The research results suggest that the actual implementation of graded diagnosis and treatment still needs further strong restraint measures.

关 键 词：分级诊疗 公立医院 门诊疾病 疾病构成 基层首诊 

分 类 号：R197[医药卫生—卫生事业管理]