摘要
Abstract
Objective To analyze the data of outpatients visiting Changying Community Health Service Center of Chaoyang District of Beijing from 2011 to 2015,so as to provide a scientific basis for the development of community health service. Methods A retrospective review of diagnosis and treatment records was conducted for all patients who visited Beijing Chaoyang District Changying Community Health Service Center from 2011 to 2015. All records were stored in the Outpatient Physician Workstation Electronic System of Changying Community Health Service Center. The data of the patients during the five years,including outpatient visits,gender,age,spectrum of disease,types of outcomes,type of visit,and methods of payment for expense were analyzed. Results The outpatient visited from 2011 to 2015 were 62 428,110 957,136 133,156 062 and 167 942,respectively,with year - on - year growth rates of 77. 74% ,22. 69% ,14. 64% ,7. 61% . During the five years, the patients' male - to - female ratio(about 40. 00% )as well as the patients' age structure were basically stable. The largest proportion of outpatients were in 60 - 69 years(about 30. 00% ),followed by 50 - 59 years,30 - 39 years,70 - 79 years and 40 - 49 years. In terms of the prevalence of various diseases,acute upper respiratory infection ranked first(about 13. 00% ), hypertension ranked second( 9. 00% ),and four diseases( bronchitis,osteoarthrosis,type 2 diabetes and coronary heart disease)ranked third(each about 5. 00% ). Among all the patients,about 98. 00% went home after the visit with regard to types of outcomes;about 90. 00% of them visit for a previously diagnosed problem;approximately 70. 00% of them paid the medical expense by social security card. Conclusion For Changying Community Health Service Center,elderly community residents are the key service people,and prevention and management of acute upper respiratory infection,hypertension, bronchitis,osteoarthrosis,type 2 diabetes,coronary heart disease and other common diseases are the major work,and these aspects should be given priority when allocating medical resources and arranging physician training program. Community health service centers can play an important role in the development of hierarchical medical system by offering primary health care and subsequent management for residents.关键词
社区卫生中心/门诊病人/疾病谱Key words
Community health service center/Outpatients/Spectrum of disease分类
医药卫生
