2009-2011年简易门诊人群费别及疾病构成分析

目的 对简易门诊人群费别及疾病构成进行分析,探讨简易门诊服务策略.方法 对我院2009-2011年简易门诊患者资料进行费别及疾病构成统计分析.结果 简易门诊患者人数逐年增加,2009-2011年分别为14 668人次、22 268人次和32 400人次.其中企业保险2009-2011年分别占25.63%、45.99%和57.99%.参保患者比例逐年增加（P〈0.05）.自费比例逐年下降（P〈0.05）.简易门诊患者以中老年人为主,平均年龄在58.8～60.0岁.2011年疾病构成心血管系统疾病占34.5%,呼吸系统疾病占17%,内分泌系统疾病占13.5%,消化系统疾病占10.5%,骨骼系统疾病占10%,神经系统疾病占5.5%.与2010年和2009年比较,各系统疾病占比无显著差异（P〉0.05）.结论 简易门诊人群流量大,医保患者比例大,以患有心血管系统、糖尿病、呼吸系统、消化系统及骨骼系统疾病的老年人群为主.

The analysis of constitution of fees and diseases in convenient outpatient service from 2009 to 2011

Objective To analyze the constitution of fee and diseases in convenient outpatient service and to discuss the strategies of outpatient services. Methods Outpatients＇ data from 2009 to 201l were analyzed statistically in convenient outpa- tient service according to the constitution of fees and diseases. Results Patients in convenient outpatient service increased year by year, with 14 668 persons in 2009, 22 268 persons in 2010 and 32 400 persons in 2011. Patients participating in business in- surance accounted for 25.63% , 45.99% and 57.99% respectively from 2009 to 2011 and the proportion of insured patients was increasing year by year （P〈0.05）. Self-funded expense ratio was declining （P〈0.05）. Patients were mainly elderly citizens with the average ages 58.8 to 60.0 from 2009 to 2011. In 2011, cardiovascular disease accounted for 34. 5% ,respiratory disease 17% ,endocrinological disease 13.5%, digestive disease 10.5% , skeletal disease 10% , and neurological disease 5.5%. There were no apparent difference in three years （P〉O. 05）. Conclusion The flow rate of patients in convenient outpatient service was large, insured patients increased and the patients mainly consisted of elderly people with cardiovascular, respiratory, endocrino- logical, digestive and skeletal diseases.