上海市1990～2002年医院医疗工作量变化情况分析

目的 ]　了解上海市医院医疗工作量情况 ,为卫生部门和医院管理者明确各级医疗机构的功能定位 ,加快卫生事业发展提供参考依据。　 方法 ]　采用回顾性调查的方法 ,分析上海市 1990～ 2 0 0 2年医院医疗工作量变化情况。　 结果 ]　本市医院医疗工作量从 90年代中期开始稳步提高 ,医保政策对医院医疗工作量影响显著 ,医疗服务体系构架的变化对病人的就医流向产生很大影响。　 结论 ]　要进一步完善城镇职工基本医疗保险制度 ,深化医院综合改革 ,加快构建新型医疗服务体系。

Analysis on the change of medical work load of Shanghai hospitals during year 1990 - 2002

Objective] To offer reference basis for health department and hospital administrators to define the functions of the medical organizations of various levels, to deepen the reform of the hospitals and quicken the development of the health sector. Methods] By retrospective investigation the change of medical work load of Shanghai hospitals from year 1990-2002 was analysed. Results] It indicated that medical work load of hospitals of this city has increased steadily since middle period of the 1990s. The medical insurance policy influenced the medical work load of the hospitals remarkably. The change of framework of medical service system has greatly influenced the patient's mode of seeking medical service. Conclusion] We must further perfect the basic medical insurance system of the urban workers, deepen the comprehensive reform of the hospital and accelerate structuring new-type medical service system.