北京市某社区卫生服务站居民连续就诊现状分析  

Analysis of consecutive patient visits in a community health service station in Beijing

作　　者：季燕[1] 仇跃 巫继东[1] 丁静[1] Yan Ji;Yue Qiu;Jidong Wu;Jing Ding(Yuetan Community Health Service Center,Fuxing Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心,北京100045

出　　处：《中华全科医师杂志》2022年第11期1050-1055,共6页Chinese Journal of General Practitioners

基　　金：首都全科医学研究专项(21QK20)。

摘　　要：目的分析北京市三里河二区社区卫生服务站居民2015—2019年连续就诊现状, 为与居民建立更加稳定的医疗服务关系提供依据。方法回顾性调取该机构自2015年1月至2019年12月就诊患者的基本信息及就诊次数, 将患者分为连续就诊组和非连续就诊组, 分析连续就诊组就诊情况和就诊次数分层情况、基本信息与连续就诊的相关性。结果机构5年共计4 696例居民就诊202 560人次, 其中连续就诊者1 162例(24.7%)共就诊100 083人次(49.4%), 连续5年年度就诊人数、总就诊次数及连续就诊患者就诊次数均呈上升趋势。连续就诊中慢性病前5位(高血压、2型糖尿病、血脂异常、冠心病、脑卒中)患者年度就诊次数中位数均为11~18次, 且呈逐年增加状态。单因素分析显示, 相较于其他年度, 2015年偶发就诊(5.7%, 66/1 162)和持续就诊(87.8%, 1 020/1 162)的比例较高, 而2019年频繁就诊(15.6%, 181/1 162)和异常频繁就诊(6.7%, 78/1 162)的比率较高, 差异有统计学意义(χ2=182.40, P<0.001)。女性(38.1%, 735/1 930)、超重/肥胖(39.6%, 777/1 960)连续就诊的比例更高, 差异有统计学意义(χ2=36.09、69.69, P<0.001)。结论该机构居民连续就诊率有待于提高, 连续就诊患者基层医疗资源利用率高且就诊次数呈上升趋势, 患者性别、体重指数可能与连续就诊情况有关。Objective To analyze consecutive patients visits in a community health service station in Beijing.Methods The basic information and behavior of the patients who visited Sanliheerqu Health Service Station in Beijing Xicheng district from January 1,2015 to December 31,2019 were retrieved from the electronic health records.The visiting situation,the stratification of the number of visits,and the correlation between the basic information and the consecutive visit was analyzed.Results A total of 4696 patients visited 202560 times during 2015 to 2019,of whom 1162 were consecutive patients(24.7%)with a total of 100083 visits(49.4%).The annual number of visits,the total number of visits and the number of consecutive visits all showed an upward trend during the five years.The top 5 reasons for consecutive visit were all chronic diseases(hypertension,type 2 diabetes,dyslipidemia,coronary heart disease,and stroke)with median annual visits of 11 to 18,and it was increasing with the year.The rates of incidental visits(1-3/year,66/1162,5.7%)and continuous visits(4-26/year,1020/1162,87.8%)in 2015 were higher than those in other years;while the rates of frequent visits(27-52/year,71/1162,6.1%)and very frequent visits(>52/year,5/1162,0.4%)were lower.The rates of frequent visits(181/1162,15.6%)and very frequent visits(78/1162,6.7%)in 2019 were higher than those in other years(χ^(2)=182.40,P<0.001).Compared with the non-consecutive visit group,the proportion of women(38.1%,735/1930)and overweight/obesity(39.6%,777/1960)in the consecutive visit group was higher(χ^(2)=36.09,69.69,P<0.001).Conclusion The consecutive visit rate of residents in this institution needs to be improved.The utilization rate of primary medical resources for patients with consecutive visit is high and the number of medical visits is on the rise.Gender and BMI of patients may be related to consecutive visit.

关 键 词：社区卫生中心 连续就诊 就诊人次 慢性病 

分 类 号：R197.61[医药卫生—卫生事业管理]