慢性非传染性疾病在不同等级医院就医资料分析

目的：为了向卫生行政等部门提供制订社区卫生服务政策参数。方法：采用实际调查和从资料室下载等的方法。结果：10种疾病的前2种脑梗塞和慢性支气管炎继发感染住区医院、社区卫生服务中心、家庭病床的例均费用分别为7074．57元，8730．27元；7129．20元，4790．32元；709．45元，645．27元。结论：诊断明确的慢性非传染病采用不同等级医疗机构、手段治疗消耗医疗费用不同，对家庭病床的合理利用是医、保、患三赢政策。

Analysis of treatment data of chronic noninfectious diseases in hospitals of different tiers

Objective To provide health administrative departments with parameters for formulating community health service policies. Methods An analysis was made by conducting practical surveys and downloading from data banks. Results With the use of district hospitals, community health service centers and family beds, the average expenses per case for cerebral infarction and secondary infection of chronic bronchitis, the first two of 10 diseases analyzed, were respectively 7 074 57 and 8 730 27 yuan, 7 129 20 and 4 790 32 yuan, and 709 45 and 645 27 yuan. Conclusion Treatment of clearly diagnosed chronic noninfectious diseases in medical institutions of different tiers and by different means will incur different medical expenses and the rational use of family beds is a three win policy for the hospital, the insurance company and the patient.