中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2013年
2期
127-130
,共4页
家庭医生联系人%门诊统筹%实施效果%时间序列分析
傢庭醫生聯繫人%門診統籌%實施效果%時間序列分析
가정의생련계인%문진통주%실시효과%시간서렬분석
Family doctor contact system%Outpatient coordination system%Outcomes%Time series analysis
目的 探讨青岛市家庭医生联系人和门诊统筹制度的实施效果.方法 随机抽取试点社区的400位社区居民和576名门诊患者进行问卷调查,采用t检验和时间序列分析试点以来参加职工数变化情况、社区转诊情况、住院费用及个人负担比例、对社区卫生服务机构的影响.结果 职工签约参保数量逐年增加,2010年达到1 739 931人；社区转诊住院比例提高,2010年达到56.97％,比2007年增加54.26％,住院费用和个人负担比例降低.结论 青岛市家庭医生联系人制度和门诊统筹制度实施效果较好,职工参加的积极性较高,社区卫生服务机构也深受其益,值得推广.
目的 探討青島市傢庭醫生聯繫人和門診統籌製度的實施效果.方法 隨機抽取試點社區的400位社區居民和576名門診患者進行問捲調查,採用t檢驗和時間序列分析試點以來參加職工數變化情況、社區轉診情況、住院費用及箇人負擔比例、對社區衛生服務機構的影響.結果 職工籤約參保數量逐年增加,2010年達到1 739 931人；社區轉診住院比例提高,2010年達到56.97％,比2007年增加54.26％,住院費用和箇人負擔比例降低.結論 青島市傢庭醫生聯繫人製度和門診統籌製度實施效果較好,職工參加的積極性較高,社區衛生服務機構也深受其益,值得推廣.
목적 탐토청도시가정의생련계인화문진통주제도적실시효과.방법 수궤추취시점사구적400위사구거민화576명문진환자진행문권조사,채용t검험화시간서렬분석시점이래삼가직공수변화정황、사구전진정황、주원비용급개인부담비례、대사구위생복무궤구적영향.결과 직공첨약삼보수량축년증가,2010년체도1 739 931인；사구전진주원비례제고,2010년체도56.97％,비2007년증가54.26％,주원비용화개인부담비례강저.결론 청도시가정의생련계인제도화문진통주제도실시효과교호,직공삼가적적겁성교고,사구위생복무궤구야심수기익,치득추엄.
Objective To study outcomes of the family doctor contact system and outpatient coordination system in Qingdao.Methods Random selection of 400 community residents and 576 outpatients for a questionnaire survey,using t tests and time series analysis.The purpose is to analyze the number of insured workers,community referrals,costs of hospitalization and the proportion of out-of-pocket payment,and impacts on community healthcare services.Results Number of insured works increased year by year,up to 1,739,931 in 2010.The proportion of community referred hospitalization was raised to 56.97％ in 2010 and increased 54.26％ compared to 2007.Hospitalization costs and the proportion of out-of-pocket payment were reduced.Conclusion The family doctor contact system and outpatient coordination system in Qingdao proved a success,as the practices were highly popular among the employees,and benefited community health centers as well,making it worthwhile to promote.
