[1]罗玉英段占祺张子武张雪莉韩旭.四川省分级诊疗效果评价：以呼吸系统疾病为例[J].中国卫生质量管理,2021,28(02):39-42.[doi:10.13912/j.cnki.chqm.2021.28.2.13 ]
　LUO Yuying,DUAN Zhanqi,ZHANG Ziwu.Evaluation of the Effect of Hierarchical Medical System in Sichuan Province:Takeing Respiratory Diseases as An Example[J].Chinese Health Quality Management,2021,28(02):39-42.[doi:10.13912/j.cnki.chqm.2021.28.2.13 ]

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四川省分级诊疗效果评价：以呼吸系统疾病为例

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年02期页码: 39-42 栏目: 关注DRG 出版日期: 2021-02-28

Title:: Evaluation of the Effect of Hierarchical Medical System in Sichuan Province:Takeing Respiratory Diseases as An Example

作者:: 罗玉英段占祺张子武张雪莉韩旭; 四川省卫生健康信息中心

Author(s):: LUO Yuying; DUAN Zhanqi; ZHANG Ziwu; Sichuan Health Information Center, Chengdu, Sichuan

关键词:: 分级诊疗; 呼吸系统疾病; DRGs; 评价

Keywords:: Hierarchical Medical System; Respiratory Diseases; Diagnosis Related Groups Groups; Evaluation

分类号:: R197.1

DOI:: 10.13912/j.cnki.chqm.2021.28.2.13

文献标志码:: B

摘要:: 目的对四川省分级诊疗效果进行分析，并提出建议。方法以四川省2018年350家二级及以上综合医院126万余条呼吸系统疾病住院患者的数据为基础，利用DRGs方法从医疗服务供给模式和服务效率两个维度进行分级诊疗效果分析和评价。结果呼吸系统住院患者共覆盖40个DRGs疾病组，二级及以上综合医院均能提供诊疗服务，三级综合医院患者占62.94%，其中79.21%为普通疾病，20组疾病平均住院日和38组疾病例均住院费用均高于二级综合医院。结论四川省分级诊疗效果不明显，患者流向以三级综合医院为主，普通疾病患者占三级综合医

Abstract:: ObjectiveTo analyze the effect of hierarchical medical system in Sichuan Province and put forward some suggestions. MethodsUsing DRGs to analyze and evaluate the effect of hierarchical medical system from the two dimensions of medical service supply mode and service efficiency, based on the data of more than 1.26 million inpatientss with respiratory diseases in 350 second-level and above general hospitals in 2018. ResultsA total of 40 DRGs disease groups were covered by respiratory inpatients, and the second-level and above general hospitals could provide diagnosis and treatment services. The tertiary general hospitals accounted for 62.94% of patients, and 79.21% of whom were common diseases. The average length of stay in 20 groups of diseases and 38 groups of diseases had higher hospitalization costs than the second-level general hospitals.Conclusion The effects of hierarchical medical system were was not obvious in Sichuan Province. Patients were mainly in tertiary general hospitals, and most of them with common diseases, and the secondary hospitals were more efficient in treating common diseases.

参考文献/References:

［1］王昆华.推进分级诊疗三甲医院应找准新定位［J］.中国卫生,2019(8):88-89. ［2］王敏,余郭莉,黄玉梅,等.分级诊疗制度实施障碍及应对策略研究［J］.卫生经济研究,2017(4):15-18. ［3］闫宣辰,姚进文,路杰,等.DRG在分级诊疗制度评价中的应用研究［J］.甘肃医药,2019,38(3):269-271. ［4］陈志仙,高山,陈昭蓉,等.分级诊疗实施效果评价的理论框架［J］.卫生经济研究,2017(12):25-27. ［5］国务院办公厅.关于推进分级诊疗制度建设的指导意见［EB/OL］.(2015-09-11)［2020-02-28］.http://www.gov.cn. ［6］闫宣辰.甘肃:DRGs改革与分级诊疗联动［J］.中国卫生,2019(3):79-80. ［7］王笑君,刘国庆,沈汉斌,等.医联体内分级诊疗DRGs实证研究［J］.中国卫生质量管理,2018,25(6):44-46. ［8］刘丽,肖月,张敏,等.成都市各级医疗机构主要就诊病种的对应分析［J］.医学与社会,2018,31(11):31-33，49. ［9］张璐,李翠丽.三级医院分级诊疗策略研究［J］.循证护理,2018,4(10):916-919. ［10］罗玉英,段占祺,张子武,等.四川省基层医疗卫生发展状况研究［J］.卫生软科学,2018,32(7):29-32,45.

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更新日期/Last Update: 2021-02-28