山东省0-14岁儿童跨省异地就医现状分析  

Analysis on the status quo of 0-14 years old children′s cross-provincial medical treatment in Shandong province

作　　者：孟祥超[1] 徐雷 巩克波[1] 魏小玲 陈芸 Meng Xiangchao;Xu Lei;Gong Kebo;Wei Xiaoling;Chen Yun(Children′s Hospital Affiliated to Shandong University,Jinan Children′s Hospital,Jinan 250022,China)

机构地区：[1]山东大学附属儿童医院(济南市儿童医院),济南250022

出　　处：《中华医院管理杂志》2022年第6期459-462,共4页Chinese Journal of Hospital Administration

摘　　要：目的分析山东省患儿跨省异地就医现状及存在的问题,并提出相应对策。方法选择福棠儿童医学发展研究中心建立的FUTang Updating medical REcords(FUTURE)数据库,提取2019年1月1日至2020年12月31日出院且现住址位于山东省的省外就医0~14岁患儿资料,并选择山东省某儿童医院同时期收治的住院患儿资料进行比较。采用SPSS 22.0软件建立数据库,对异地和本地就医患儿例数、主要流向、就诊科室、病种类别以及费用情况等进行统计分析。结果共纳入山东省异地就医患儿13071例,就医流向以北京儿童医院为主;纳入山东省某儿童医院同时期收治的患儿资料87742例。异地就医患儿中女性占比和学龄期患儿占比高于本地就医者,住院费用高于本地就医者;省外异地就医患儿主要就诊疾病为肿瘤、免疫性疾病等较为严重的疾病或者慢性病,而省内就医患儿以肺炎等呼吸道疾病为主。结论山东省0~14岁跨省异地就医患儿中肿瘤、免疫性疾病等占比较高,省内医院应重视重点专科建设,积极开展新技术、新业务,增强医院核心竞争力;完善医疗服务体系,通过政策引导患者合理就医。Objective To analyze the current situation and problems of cross-provincial medical treatment for children in Shandong province,and put forward corresponding countermeasures.Methods The FUTang Updating medical REcords(FUTURE)database established by Futang Children′s Medical Development Research Center was selected to extract the data of 0-14 years old children who were discharged outside Shandong province from January 1,2019 to December 31,2020 and whose current address was in Shandong province,and the data of hospitalized children in a children′s hospital in Shandong province during the same period were selected for comparison.The SPSS 22.0 software was used to establish the database,and statistics and analysis were made on the number of cases,main flow direction,departments,types of diseases and hospitalization cost of children.Results A total of 13071 cases accepted cross-provincial medical treatment were included,and the main flow of medical treatment was Beijing Children′s Hospital.The data of 87742 children admitted to a children′s hospital in Shandong province at the same time were included.The proportion of female and school-age children in children accepted cross-provincial medical treatment was higher than that of local patients,and the hospitalization cost was higher than that of local patients.The main diseases for children seeking medical treatment outside the province were tumors,immune diseases and other serious diseases or chronic diseases,while the main diseases for children seeking medical treatment in the province were respiratory diseases such as pneumonia.Conclusions The proportion of tumors and immune diseases among children aged 0-14 years accepted cross-provincial medical treatment is relatively high.Hospitals in Shandong province should pay attention to the construction of key specialties,actively develop new technologies and new businesses,and enhance the core competitiveness of hospitals.At the same time,we should improve the medical service system and guide patients to seek med

关 键 词：儿童 住院 跨省异地就医 病种 分级诊疗 专科建设 

分 类 号：R195[医药卫生—卫生统计学]