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目的分析医院服务范围和病人来源特点,为制定宏观政策提供参考依据。方法对某三甲综合医院出院病人来源信息采用描述统计、变动度分析方法分析病人来源的发展特点和结构变动度。结果 2008年-2011年城区病人负向结构变动值最大,对医院整体结构变动贡献率最大;市辖各县上升为病人的第一大来源地区,病人正向结构变动值最大,贡献率第二大;外埠地区结构变动值最小,2010年-2011年病人增长迅速,正向变动值显著增长,贡献率第二大。结论应根据病人对医院的需求调整内部结构,进一步稳固城区市场,发展市辖各县病源,拓展外埠医疗空间。
Objective To analyze the characteristics of the hospital service and the source of the patients and provide a reference for the formulation of the macroeconomic policy. Methods Descriptive statistics and variance analysis were used to analyze the source of patient development and structural changes in the information of discharged patients in a tertiary general hospital. Results In 2008-2011, the change of negative structure of patients in urban area was the largest, which contributed the most to the structural changes of hospitals. The counties in cities under the jurisdiction increased to the largest source of patients, with the largest positive change in patients’ structure and the second contribution rate Large; the changes in the structure of the other areas of the smallest, from 2010 to 2011, rapid growth of patients, positive changes significantly increased, the second largest contribution rate. Conclusions The internal structure of patients should be adjusted according to the needs of the hospital, further stabilize the market in urban areas, develop the pathogenic sources of municipal districts and expand the medical space in other cities.