摘要
分级诊疗"长汀模式"以慢性病为切入点,提出了医-防-保结合策略;通过村医乡用、成立中心卫生所、建设流动农村社区卫生服务站等措施,整合资源,提高效率,为分级诊疗的开展提供人力保障。2015年,长汀县高血压、糖尿病患者的基层门诊就诊比例分别为99.96%(210 995/211 079)、99.64%(34 501/34 626),基层住院比例分别为88.15%(1 131/1 283)、56.28%(130/231),均高于龙岩市其他地区的平均水平,患者的就诊流向趋于合理。长汀县高血压、糖尿病患者的门诊次均费用分别为58.22、126.29元,住院次均费用分别为1 652.70、3 816.05元,人均住院费用分别为1 898.31、4 279.16元,均低于龙岩市其他地区的平均水平。表明分级诊疗"长汀模式"成效初显,可为经济不发达地区推进分级诊疗工作提供参考。
Taking the chronic disease as the breakthrough point,hierarchical diagnosis and treatment of ＂ Changting mode＂ has put forward the combination strategies of medical treatment- prevention- health insurance. Through measures of village doctors working in countryside,setting up central clinics,and constructing mobile rural community health service stations to integrate resources and improve efficiencies,Changting county provides manpower for the implementation and development of hierarchical diagnosis and treatment. In 2015, treatment rates of patients with hypertension and with diabetes in clinics in Changting were 99. 96%（ 210 995 /211 079） and 99. 64%（ 34 501 /34 626） respectively,while their hospitalization rates of basic level were 88. 15%（ 1 131 /1 283） and 56. 28%（ 130 /231） separately,both of which were higher than the average level of other areas. The clinical visiting distribution of patients tended to be reasonable. The average outpatient expenses of hypertensive patients and diabetic patients were 58. 22 and 126. 29 yuan respectively,their average hospitalization expenses were1 652. 70 and3 816. 05 yuan respectively,their hospitalization expenses per capita were 1 898. 31 and 4 279. 16 yuan respectively, all of which were lower than the average level in other areas in Longyan. Thus it can be seen that hierarchical diagnosis and treatment of ＂ Changting mode＂ has shown early effects,which can provide references for promoting hierarchical diagnosis and treatment in economically underdeveloped areas.
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第22期2628-2631,共4页
Chinese General Practice
基金
2015年福建省软科学计划项目(2015R0033)
关键词
分级诊疗
长汀模式
效果
Hierarchical diagnosis and treatment
Changting mode
Effects
