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天津市居民门诊费用的影响因素调查OA北大核心CSTPCD

Influencing Factors of Costs in Outpatient Department of Residents in Tianjin

中文摘要英文摘要

目的 分析天津市居民的次均门诊费用情况,探讨其影响因素,为有效控制医疗费用上涨、切实缓解居民"看病难,看病贵"提供科学依据.方法 采用描述性分析、非参数检验和多元线性回归模型等统计学方法 对天津市居民的门诊费用进行分析.结果 天津市居民次均门诊费用的中位数为120元,其影响因素有:疾病的严重程度、就诊机构、就诊次数、地区分类、职业类型、参加医疗保险的类型(P<0.05).结论 应加强基层医疗机构的能力建设,完善医疗保障制度,以控制医疗费用过快增长.

Objective To analyze the cost conditions of residents in Tianjin in outpatient department and investigate the influencing factors so as to effectively control the increase of medical fees and relieve the residents' problems in medical care. Methods The statistical methods of descriptive analysis, nonparametric test and multiple linear regression were taken to analyze the costs in outpatient department of the residents in Tianjin. Results The median of the average cost of each time for the residents was RMB 120 yuan, The influencing factors were severity of disease, medical organization, time of visit, area classification , occupational type, and type of medical insurance ( P < 0. 05 ) . Conclusion It is necessary to strengthen the building of primary health care institution, and improve the medical insurance system for control of the excessive growth of medical expenses.

刘丽娟;李鹏;杨文秀

300070,天津市,天津医科大学天津市医学科学技术信息研究所天津市医学科学技术信息研究所

医药卫生

门诊费用影响因素天津

《中国全科医学》 2011 (7)

764-766,3

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