CAJ | 학술논문

上海市作为区域医疗服务中心接受了大量外来就医患者。2012年，上海市外来就医出院人数占全市出院人数的22.7%，住院费用占比达到26.2%，外来患者主要来源于江苏、浙江、安徽，主要流向三级医院，次均医疗费用负担普遍高于全市平均水平。外来就医一方面客观上推动了上海的社会经济发展，增加了医疗机构收入，促进医疗技术水平和资源配置效率提升；另一方面也对本地居民的医疗服务可及性造成了一定影响，触及到医疗服务的公平性等问题。
상해시작위구역의료복무중심접수료대량외래취의환자。2012년，상해시외래취의출원인수점전시출원인수적22.7%，주원비용점비체도26.2%，외래환자주요래원우강소、절강、안휘，주요류향삼급의원，차균의료비용부담보편고우전시평균수평。외래취의일방면객관상추동료상해적사회경제발전，증가료의료궤구수입，촉진의료기술수평화자원배치효솔제승；령일방면야대본지거민적의료복무가급성조성료일정영향，촉급도의료복무적공평성등문제。
As a regional medical center,Shanghai is confronting an escalating number of patients from other provinces and cities. In 2012,the number of non-residents’ inpatient stays accounted for 22.7%of total number of inpatient stays and 26.2%of total inpatient expenditure in Shanghai. The non-residents’ patients mainly came from Jiangsu,Zhejiang and Anhui province. They usually sought treatment in tertiary hospitals. Their medical expenses were generally higher than the average. Non-residents’ care-seeking promotes the social and economic development in Shanghai by increasing the revenue of Shanghai’s health institutes and improving medical technology and efficiency of resource allocation. On the other hand,the local residents’ accessibility was influenced,which raised the equity issue of health services.