| 摘要: |
| 目的 分析北京儿童医院集团9家医院2011—2015年门诊量变化趋势，评价儿童医院集团的成立对儿科优势资源下沉产生的初步效果。方法 由北京儿童医院集团秘书处统一收集9家医院2011—2015年共60个月的门诊量数据，采用中断时间序列分析集团成立前、后门诊量的变化趋势。结果 北京、安徽、河北3家儿童医院在集团成立后增长速度有所降低（β1´β2分别为-2 048.00、-504.49、-840.20，P分别为0.016、0.021、0.003）。聊城、南京、郑州3家儿童医院的增长速度略有增加（β1´β2分别为164.74、228.67、717.17），但无统计学意义。结论 北京儿童医院集团成立后，初步实现儿科优势资源下沉，但西部地区仍有待于进一步加强。 |
| 关键词: 门诊量 中断时间序列分析 医疗服务联合体 |
| DOI： |
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| Trend Analysis of Outpatients Visits in Beijing Children Hospital Group from 2011 to 2015 |
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| Abstract: |
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Objective To explore the trend of outpatients visits among 9 hospitals of Beijing Children Hospital Group from 2011 to 2015, and to evaluate the effect of Beijing Children Hospital Group on complementary advantages of children’s medical resources. Method The outpatients amounts of 9 hospitals from 2011 to 2015 were collected by secretariat of Beijing Children Hospital Group. The interrupted time series method was used to analyze the increasing trend before and after the foundation of Beijing Children Hospital Group. Result A decreased growth rates of outpatients amounts were found in Beijing, Anhui, and Hebei Children Hospitals(β1´β2 were -2 048.00, -504.49, -840.20, respectively, and P values were 0.016, 0.021, 0.003, respectively). Liaocheng, Nanjing, and Zhenzhou Children Hospitals, however, were found an increasing speed (β1´β2 were 164.74, 228.67, 717.17, respectively), but there are no statistical significance. Conclusion The foundation of Beijing Children Hospital Group unified and coordinated pediatric superior resources among groups and made a more reasonable proportion of hospitalized children across the country. On the other hand, the disequilibrium of resource between east and west still remain. |
| Key words: outpatients visits, interrupted time series method,medical alliance |
