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目的:分析某乡镇卫生院门诊就诊人次和费用变化,为进一步研究偏远地区农牧民门诊费用提供依据。方法:分析某卫生院3年门诊就诊人次和次均费用,门诊患者就医科室、年龄别、性别和疾病顺位情况。结果:3年平均门诊就诊21213.67人次,次均费用在33.26元内,50%患者门诊费用不超过30元;内、外科和藏医科门诊人次占当年门诊总人次的76.80%、72.9%和74.90%。3个年度前10种门诊疾病分别占当年门诊人次的76.73%、75.10%和66.77%,占当年门诊总费用的65.36%、56.60%和54.28%。结论:偏远地区乡镇卫生院的门诊服务为当地农牧民的常见病和多发病发挥了积极作用。
OBJECTIVE: To analyze the change of outpatient visits and costs in a township hospital, and to provide basis for further research on outpatient services costs of farmers and herdsmen in remote areas. Methods: To analyze the attendance rate and average cost of outpatient visits in a hospital for three years and outpatient departments for medical departments, age, gender and disease status. Results: The average outpatient visits in 3 years was 21,213.67, the average cost was within 33.26 yuan, while the outpatient costs for 50% of patients did not exceed 30 yuan. The number of outpatient, surgical and Tibetan medical clinics occupied 76.80%, 72.9% and 74.90% . The top 10 outpatient diseases in the three years accounted for 76.73%, 75.10% and 66.77% of the outpatient visits respectively in that year, accounting for 65.36%, 56.60% and 54.28% of the total annual outpatient expenses. Conclusion: The outpatient services of township hospitals in remote areas play an active role in the common diseases and frequently-occurring diseases of local farmers and herdsmen.