| 摘要: |
| 目的 研究新医改前后我国农村居民就诊流向变化及其原因。方法 综合分析《中国卫生服务调查研究》、《中国卫生统计年鉴》和医改监测与评价相关数据，并结合典型地区调研和专家咨询。结果 新医改实施以来，患者的首诊机构选择变化不大，但农村居民就诊流向发生了重大变化。结论 基本医疗保障制度、基本药物制度、基本医疗卫生服务体系、基本公共卫生服务体系和乡镇卫生院综合改革对农村居民就医流向有着重要影响，同时存在着交互作用。应进一步明确农村医疗服务体系功能定位、优化农村医疗卫生网络布局、加强农村卫生服务制度建设、发挥新农合制度导向作用和推进乡镇卫生院综合改革。 |
| 关键词: 新医改 农村居民 就诊流向 |
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| Trends and Cause Study on the Distribution of Rural Patients Under the New Healthcare System Reform |
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| Abstract: |
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Objective
To study the trends and causes of the distribution of rural patients before and after the new healthcare system reform. Methods Data from the Chinese Health Service Survey, Chinese Health Statistics Year Book and monitoring and evaluation of the new healthcare system reform were used to analyze the distribution of rural patients, through combining with typical regional research and expert consultation. Results Patients’ first visiting medical institutions changed a little since implementation of the new healthcare reform. While the distribution of rural patients changed greatly. Conclusion The new healthcare system reform, including the basic medical insurance system, essential medicine system, basic healthcare service system, basic public health service system and comprehensive reform of township hospitals, has important impact on distribution of rural patients. Meanwhile, there are interactions among them. The function orientation of rural medical service system should be further clarified, the layout of the health care network in rural areas be optimized, the construction of rural health service system be strengthened, the guiding role of new rural cooperative medical system be paid and the comprehensive reform of township hospitals be promoted. |
| Key words: new healthcare system reform,rural resident,rural patients’ distribution |
