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目的了解万州区实行城乡居民合作医疗保险政策5年以来,各医疗机构门诊量与住院量的变化。方法根据万州区2005年及2010年全区医疗机构统计报表资料,对门诊量及住院量计算平均增长速度及构成比进行分析。结果卫生院门诊量及住院量平均增速分别高出全国水平4.65、7.02个百分点;妇幼保健院门诊量及住院量分别高出全国水平5.69、4.77个百分点。医院门诊量平均增速高全国水平1.4个百分点,而住院量平均增速低全国水平2.48个百分点。卫生院住院量构成比增加12.61个百分点,妇幼保健院门诊量增加2.06个百分点,医院门诊量及和住院量构成比分别减少1.92、13.47个百分点。结论城乡居民合作医疗保险政策的实施,给万州区各医疗机构带来跨越式发展,不同的医疗机构实行不同的医保报销政策,是引导病人合理分流的有效途径。
Objective To understand the change of outpatient and inpatient volume of various medical institutions since Wancheng District implemented the policy of urban and rural cooperative medical insurance for 5 years. Methods Based on the statistical data of medical institutions in Wanzhou District in 2005 and 2010, the average growth rate and composition ratio of outpatient and inpatient were calculated. Results The average growth rate of outpatient service and hospitalization in hospitals was 4.65 and 7.02 percentage points higher than the national average respectively. The outpatient and inpatient rates of MCH were 5.69 and 4.77 percentage points higher than the national average respectively. The average out-patient rate of hospital outpatient was 1.4 percentage points higher than the national average, while the average growth rate of hospitalization was 2.48 percentage points lower than the national average. The hospitalization rate of health centers increased by 12.61 percentage points, that of outpatient clinics increased by 2.06 percentage points, and the number of hospital outpatient and inpatient services decreased by 1.92 and 13.47 percentage points respectively. Conclusion The implementation of the urban and rural cooperative medical insurance policy brings leaps and bounds to various medical institutions in Wanzhou District. Different medical institutions implement different policies for reimbursement of medical insurance, which is an effective way to guide the patient to diversify rationally.