2011—2015年北京市朝阳区常营社区卫生服务中心门诊患者状况分析

发布时间：2018-05-05 04:36

  本文选题：社区卫生中心 + 门诊病人　； 参考：《中国全科医学》2017年02期

【摘要】：目的通过分析2011—2015年北京市朝阳区常营社区卫生服务中心门诊患者的资料,为更好地开展社区卫生服务工作提供科学依据。方法采用回顾性分析方法,收集2011—2015年北京市朝阳区常营社区卫生服务中心门诊医生工作站电子系统中的门诊诊疗日志,对近5年的门诊就诊例次、性别、年龄、主要就诊病因、转归类型、就诊类型、医疗费用支付类别等资料进行分析。结果 2011—2015年门诊就诊例次分别为62 428、110 957、136 133、156 062、167 942人次,5年的逐年增长率分别为:77.74%、22.69%、14.64%、7.61%。2011—2015年患者的性别比基本保持稳定,男性约占40.00%;年龄结构也基本保持稳定,60~69岁位居第一,约占总例次的30.00%,其次为50~59岁、30~39岁、70~79岁、40~49岁;第一诊断位列前2位的为急性上呼吸道感染(约占13.00%)和高血压(约占9.00%),其次为支气管炎、骨关节病、2型糖尿病和冠心病,各约占5.00%;转归类型为约98.00%的患者就诊后选择回家;患者的就诊类型以复诊为主,约占90.00%;患者的医疗费用支付以社保卡为主,约占70.00%。结论常营社区卫生服务中心应将社区老年居民作为重点服务人群,将针对上呼吸道感染、高血压、支气管炎、骨关节病、2型糖尿病、冠心病等疾病开展预防和治疗工作作为重点工作,在分配医疗资源和培训医生时对上述方向予以优先考虑。社区卫生服务机构有能力为社区居民提供有效的基本医疗服务并且切实做到持续健康管理,在推行的分级诊疗制度中将发挥重要作用。
[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.
【作者单位】： 北京市朝阳区常营社区卫生服务中心;中国医学科学院基础医学研究所
【分类号】：R197.61

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