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本文调查了十三个铁路分局,抽样6551户23595人。七个医疗单位一日门诊量调查7738例。结果表明,铁路医疗卫生服务需求量(全国铁路居民)为:每年患病人次数为3313万～3559万,每年患慢性病的有256～269万人次,每年休工约2404万天,学生每年休学411万天,居民卧床2452万天。医疗服务利用指标中,住院率为6.15%,两周内每千人就诊87.7人,108次,未住院率为0.96%。产前检查率为83.22%,产后访视率为34.30%。据此作者与全国城乡和国际上进行的卫生服务调查资料作了比较与讨论。
This paper investigated thirteen railway branches and sampled 6,551 23,595 people. A total of 7738 outpatient visits were investigated in seven medical units. The results show that the demand for railway medical and health services (national railway residents) is: the number of patients suffering from 33.13 million to 35.59 million patients each year, 256 to 2.69 million people suffering from chronic diseases every year, about 24.4 million days of off-season work, and the students leave school each year. For 4.11 million days, residents stay in bed for 24.52 million days. Among the medical service utilization indicators, the hospitalization rate was 6.15%, 87.7 visits per 1,000 people and 108 visits within two weeks, and the non-hospitalization rate was 0.96%. The prenatal checkup rate was 83.22%, and the postpartum visit rate was 34.30%. Based on this, the author compares and discusses with the national health service survey data in urban and rural areas and internationally.