本文選題：社區(qū)衛(wèi)生中心 + 門診病人��； 參考：《中國全科醫(yī)學(xué)》2017年02期

【摘要】：目的通過分析2011—2015年北京市朝陽區(qū)常營社區(qū)衛(wèi)生服務(wù)中心門診患者的資料,為更好地開展社區(qū)衛(wèi)生服務(wù)工作提供科學(xué)依據(jù)。方法采用回顧性分析方法,收集2011—2015年北京市朝陽區(qū)常營社區(qū)衛(wèi)生服務(wù)中心門診醫(yī)生工作站電子系統(tǒng)中的門診診療日志,對近5年的門診就診例次、性別、年齡、主要就診病因、轉(zhuǎn)歸類型、就診類型、醫(yī)療費(fèi)用支付類別等資料進(jìn)行分析。結(jié)果 2011—2015年門診就診例次分別為62 428、110 957、136 133、156 062、167 942人次,5年的逐年增長率分別為:77.74%、22.69%、14.64%、7.61%。2011—2015年患者的性別比基本保持穩(wěn)定,男性約占40.00%;年齡結(jié)構(gòu)也基本保持穩(wěn)定,60~69歲位居第一,約占總例次的30.00%,其次為50~59歲、30~39歲、70~79歲、40~49歲;第一診斷位列前2位的為急性上呼吸道感染(約占13.00%)和高血壓(約占9.00%),其次為支氣管炎、骨關(guān)節(jié)病、2型糖尿病和冠心病,各約占5.00%;轉(zhuǎn)歸類型為約98.00%的患者就診后選擇回家;患者的就診類型以復(fù)診為主,約占90.00%;患者的醫(yī)療費(fèi)用支付以社�？橹�,約占70.00%。結(jié)論常營社區(qū)衛(wèi)生服務(wù)中心應(yīng)將社區(qū)老年居民作為重點(diǎn)服務(wù)人群,將針對上呼吸道感染、高血壓、支氣管炎、骨關(guān)節(jié)病、2型糖尿病、冠心病等疾病開展預(yù)防和治療工作作為重點(diǎn)工作,在分配醫(yī)療資源和培訓(xùn)醫(yī)生時對上述方向予以優(yōu)先考慮。社區(qū)衛(wèi)生服務(wù)機(jī)構(gòu)有能力為社區(qū)居民提供有效的基本醫(yī)療服務(wù)并且切實做到持續(xù)健康管理,在推行的分級診療制度中將發(fā)揮重要作用。
[Abstract]:Objective to analyze the data of outpatients in Changying Community Health Service Center, Chaoyang District, Beijing from 2011 to 2015, and to provide scientific basis for better development of community health service. Methods retrospective analysis was used to collect the log of outpatient consultation and treatment in the electronic system of outpatient doctor workstation of Changying Community Health Service Center in Chaoyang District of Beijing from 2011 to 2015. The main causes, types of outcome, types of visits, categories of medical expenses are analyzed. Results in 2011-2015, the number of outpatient visits was 62 428110 957136 133156 062167 942 respectively. The annual growth rate of 5 years was respectively: 77.74 and 22.697.640.The sex ratio of the patients remained basically stable in 2011-2015, and the male accounted for about 40.004. The age structure was also basically stable and the first was 6069 years old. About 30.00,3039 years old and 7079 years old and 4049 years old. The first two diagnoses were acute upper respiratory infection (about 13.00%) and hypertension (about 9.00%), followed by bronchitis, osteoarthritis type 2 diabetes mellitus and coronary heart disease, the first diagnosis of which was acute upper respiratory infection (about 13.00%) and hypertension (about 9.00%), followed by bronchitis, osteoarthropathy type 2 diabetes and coronary heart disease. Each accounted for about 5.00; the return type is about 98.00% of the patients to choose to go home after seeing a doctor; the patient's type of visit is mainly to return diagnosis, about 90.00. the medical expenses of the patients are mainly paid by social security card, accounting for 70.005% of the total medical expenses. Conclusion the elderly residents in Changying Community Health Service Center should be regarded as the key service population, and should be aimed at upper respiratory tract infection, hypertension, bronchitis, osteoarthropathy and type 2 diabetes mellitus. Prevention and treatment of coronary heart disease and other diseases as the focus of work, in the allocation of medical resources and training doctors to give priority to these directions. Community health service institutions have the ability to provide effective basic medical services for community residents and to effectively achieve sustainable health management, which will play an important role in the implementation of the hierarchical diagnosis and treatment system.
【作者單位】： 北京市朝陽區(qū)常營社區(qū)衛(wèi)生服務(wù)中心;中國醫(yī)學(xué)科學(xué)院基礎(chǔ)醫(yī)學(xué)研究所
【分類號】：R197.61

【參考文獻(xiàn)】

中國期刊全文數(shù)據(jù)庫 前5條

1 邱艷;任文;劉穎;史煒;任菁菁;;城鄉(xiāng)全科門診就診患者特征研究[J];中國全科醫(yī)學(xué);2015年31期

2 王虎峰;元瑾;;對建立分級診療制度相關(guān)問題的探討[J];中國醫(yī)療管理科學(xué);2015年01期

3 李春玲;李盼;;白紙坊社區(qū)衛(wèi)生服務(wù)中心就診患者常見病種類及用藥情況調(diào)查[J];中國現(xiàn)代藥物應(yīng)用;2011年04期

4 張宇林;畢嘉t，

本文編號：1846242