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通过对我市的省、市、区三级医院家庭病床科以及社区卫生服务中心家庭病床 6种常见慢性病的费用及其构成的调查分析得出 :不同级别医院家庭病床总费用、日均费用均有显著性差异 (P<0 .0 5 ) ,医院级别越高 ,家床费用也越高 ,且公费病人的日均费用明显高于自费病人。区级及以下医疗机构尤其是社区服务中心的家床是最经济的 ,其社会效益和经济效益巨大。为此 ,应完善相关配套政策 ,理顺社区与上级医院的关系 ,建立双向转诊制度 ,以最大限度满足老年人就近服务的保健需要求。
Through the investigation and analysis of the cost and its composition of six kinds of common chronic diseases in family hospital beds in the provincial, municipal and district hospitals of the three levels of the city and family health beds in the community health service center, the total cost and daily average cost of family beds in hospitals of different levels are There was a significant difference (P<0.05). The higher the hospital level, the higher the cost of home beds, and the average daily fee of publicly-funded patients was significantly higher than that of self-paying patients. The hospital beds in district-level and below medical institutions, especially community service centers, are the most economical, with huge social and economic benefits. To this end, relevant supporting policies should be improved to rationalize the relationship between the community and superior hospitals, and a two-way referral system should be established to meet the health care needs of the elderly closest to the service.