北京市某区肠道门诊现状和合理设置模式的研究

目的：了解并评价某一地区肠道门诊的现况。方法：定量描述2004年全区肠道门诊的地理分布、门诊量、硬件配备、消毒隔离、管理、病种分析等，对就诊的患者进行定性访谈。结果：全区共有31家肠道门诊，城区肠道门诊布局相对合理，农村地区肠道门诊的服务半径过大，平均38．6km^2；二级、三级医院的肠道门诊门诊量大、硬件配备较完善，而一级医院的肠道门诊门诊量较少、硬件配备不足，有11家医院全年门诊量不足60人；43％肠道门诊病人为普通肠炎，16％为痢疾。结论：政府对一级医院的肠道门诊资金投入不足；农村肠道门诊布局不合理；肠道门诊的常规检测项目不合理。

STUDY OF CURRENT STATUS AND REASONABLE RESET MODEL OF ENTERIC INFECTIOUS DISEASES CLINIC OF ONE DISTRICT IN BEIJING

Objective:To describe and evaluate the situation of all Enteric-Infectious-Diseases-Clinic(EIDC)of one district in Beijing.Methods:The locations,the annual amount of outpatient,equipments and management as well as constitution of diagnoses were described.Results:31 clinics in total,the location matrix in city area is more reasonable than that in rural area,the average serving square kilometers is 38.6.The equipments and the total of outpatients of clinics in level one hospitals are poor.43% of the diagnosis of EIDC is normal enteric inflammation,16% is bacteria dysentery.Conclusion:The capital support for community hospitals from government is low,especially in rural areas;the stipulated tests items are unreasonable.