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目的:为调查近10年来在基层二级医院医疗服务新变化。方法:回顾性分析了近10年来基层二级医院门诊及住院患者的年均人次及诊治费用情况。结果:近10年来门诊人次逐年增加(χ2=123.859,P=0.000),人均费用同时增加(F=210.816,P=0.000),参保患者人次及人均费用相应上升(χ2=212.547,P=0.000;F=290.412,P=0.000)。同时住院患者逐年增加(χ2=201.112,P=0.000),平均年龄、人均费用增加(F=178.341,P=0.000;F=256.336,P=0.000),参保人数增加明显(χ2=198.782,P=0.000),费用也随之增加(F=302.352,P=0.000)。健康体检人数上升明显(χ2=293.543,P=0.000)。结论:近10年来基层医院医疗改善,但医疗费用支出增加,卫生机构及医院管理者应合理配备医疗资源,控制医院成本,降低患者费用,更好地为人民群众服务。
Objective: To investigate the new changes of medical services in primary and secondary hospitals in the past 10 years. Methods: A retrospective analysis of the past 10 years of primary second-level hospital outpatient and inpatient annual average person-time and diagnosis and treatment costs. Results: The number of outpatients increased year by year in the past 10 years (χ2 = 123.859, P = 0.000) and the per capita cost increased at the same time (F = 210.816, P = 0.000) ; F = 290.412, P = 0.000). At the same time, the number of inpatients increased year by year (χ2 = 201.112, P = 0.000), mean age and cost per capita increased (F = 178.341, P = 0.000; F = 256.336, P = 0.000) = 0.000), costs also increased (F = 302.352, P = 0.000). Health examination increased significantly (χ2 = 293.543, P = 0.000). Conclusion: The medical care in grassroots hospitals has improved in recent 10 years, but the medical expenses have increased. Health agencies and hospital administrators should rationally equip medical resources, control hospital costs, reduce patient costs and better serve the people.