摘要
Abstract
Objective To analyze the status quo of outpatient minor surgeries in Jinshan District,Shang-hai from 2020 to 2024,and to provide basis for formulating a more comprehensive work system for outpatient minor surgeries.Methods Using cluster sampling method and descriptive epidemiological method,we analyzed the data of outpatient minor surgeries performed by 11 community health service centers which were recorded in the Jinshan District Health Information System database of Shanghai from 2020 to 2024.Results The total number of minor surgeries performed in community health centers in Jinshan district of Shanghai from 2020 to 2024 was 9 679 per-son-time,with a total surgical cost of 2 899 759.6 yuan and an average surgical cost of 299.6 yuan per surgery.The average annual reimbursement rate for medical insurance was 92.3％.The top three minor surgeries in the outpatient department were debridement and suturing,superficial mass resection,and abscess incision and drain-age,accounting for 50.3％,23.1％,and 14.0％of total outpatient visits,respectively.The total number of out-patient minor surgeries showed significant differences in terms of gender,age,contract signing,payment pattern,key contracted population and registered residence(P＜0.05).The surgeries were predominantly performed in the period from August to October,accounting for 41.0％of the total.The top three towns for performing outpatient minor surgeries were Jinshanwei Town,Tinglin Town,and Zhangyan Town,with outpatient visits accounting for 17.1％,14.3％,and 14.1％,respectively.The average number of surgeries per person in 11 community health service centers ranged from 103 to 692 person-time.Conclusions The effectiveness of minor outpatient surgeries in community health centers of Jinshan District,Shanghai is gradually improving;however,disparities persist a-mong different communities.Further improvement is still needed in the formulation of policies related to outpatient minor surgeries.关键词
基层/社区卫生服务/门诊小手术/流行病学/卫生管理Key words
Grassroots/Community health services/Outpatient minor surgery/Epidemiology/Health management分类
医药卫生
