我国公立综合医院急诊比例现状分析

发布时间：2018-03-24 01:31

本文选题：公立医院　切入点：综合医院　出处：《中国医院》2017年03期

【摘要】：目的:了解国内公立综合医院的急诊比例分布现状。方法:选取《中国二、三级医院医疗服务能力》基线调查中具有急诊比例的452所二级医院和149所三级医院进行分析。结果:国内急诊比例呈偏态分布,二级医院的中位数为7.26%,低于三级医院的8.11%(P=0.027)。无论二级医院还是三级医院,急诊比例在东中西部的比较都呈现出东部最高;二级医院的急诊比例北方高于南方(8.61%vs 6.04%,P0.001),但是三级医院急诊比例在南北方之间差异没有统计学意义(P=0.170)。二甲医院急诊比例高于二乙医院(8.01%vs 5.66%,P0.001);但是,三甲医院的急诊比例却明显低于三乙医院(7.75%vs 11.00%,P=0.032)。结论:国内公立综合医院的急诊比例成偏态分布且总体水平偏低,在不同区域之间存在不均衡,不同等级医院之间存在明显差异。建议未来进一步研究该指标在分级诊疗实施过程中的评价作用,并逐步制定出符合国情的急诊比例参考指标值,从而更好地推动和实现分级诊疗。
[Abstract]:Objective: to understand the current situation of emergency emergency ratio distribution in public general hospitals in China. In the baseline survey, 452 level-II hospitals and 149 level-III hospitals with the proportion of emergency cases were analyzed. Results: the proportion of emergency cases in China was skewed. The median of the second class hospital was 7.26, which was lower than that of the third class hospital (8.11%). The proportion of emergency cases in level II hospitals in the north was higher than that in hospitals in the south (8.61 vs 6.04), but there was no significant difference in the proportion of emergency cases between the three hospitals in the south and the north. The proportion of emergency cases in the second class hospitals was higher than that in the second and second class hospitals (8.01 vs 5.66 and P 0.001; however, there was no significant difference in the proportion of emergency cases between the three hospitals in the south and the north. The proportion of emergency cases in the third Class A Hospital was obviously lower than that in the third Class B Hospital (7.75 vs 11.00). Conclusion: the proportion of emergency cases in the public general hospitals in China is skewed and the overall level is low, and there is imbalance among different regions. There are obvious differences among different levels of hospitals. It is suggested that the evaluation function of this index in the process of graded diagnosis and treatment should be further studied in the future, and the reference value of proportion of emergency department in accordance with the national conditions should be worked out step by step. In order to better promote and achieve grading diagnosis and treatment.
【作者单位】：中国医科大学附属盛京医院;国家卫生和计划生育委员会;
【分类号】：R197.3;R459.7

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