论文部分内容阅读
近几年,我国许多大中城市普遍存在着医疗费用过快增长的现象,广州也不例外,不仅造成了卫生资源的严重浪费,也给社会带来了沉重的经济负担。这一现象的产生有许多复杂的社会和经济因素,也同本地区就医病人的流向异常密切相关。因此,在广州市医疗保障制度改革中,研究就医病人的流向及费用有着重要的现实意义。1 资料来源本文资料来源于广州市63家医院95～98年的卫生统计年报表和财务报表,其中部属医院8间、省属医院5间、市属医院14间、区属医院24间、集体所有制医院12间。63所医院占城区区以上医疗机构数的71%,门诊诊疗人次约占全市城区诊疗总人次的80%,住院人次约占城区总数的88%。故调查数据具有代表性和可靠性。
In recent years, there have been phenomena of excessively rapid growth of medical expenses in many large and medium-sized cities in China. Guangzhou is no exception. This not only causes serious waste of health resources, but also brings a heavy economic burden to the society. The emergence of this phenomenon has many complex social and economic factors, and it is also closely related to the abnormal flow of medical patients in the region. Therefore, in the reform of the medical security system in Guangzhou, it is of great practical significance to study the flow and expenses of medical patients. 1 Sources of information The data were collected from the annual statistical reports and financial statements of the health statistics of 63 hospitals in Guangzhou from 1998 to 1998. Among them, 8 were subordinate hospitals, 5 were provincial hospitals, 14 were municipal hospitals, and 24 were district hospitals. 12 hospitals. 63 hospitals accounted for 71% of the number of medical institutions in urban areas. The number of outpatient visits accounted for about 80% of the city’s total number of medical visits, and hospitalizations accounted for about 88% of the total number of urban districts. Therefore, the survey data is representative and reliable.