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[目的]通过对某市级三甲医院2004～2008年患者总数变化及农村患者所占比例变化情况,了解城市大型定点医院在新农合形势下所处的地位和作用。[方法]采用分层抽样法对2004～2008年门诊日志和出院病例进行统计,对农村患者在门诊和住院患者中的构成比进行分析,最后得出农村患者所占比例及年增长率。[结果]大型定点医院自实施新型农村合作医疗以后,门诊和住院患者总人次明显增加,其中,农村患者和非农村患者增加比例经χ2和t检验差异有统计学意义。[结论]由此充分证明,城市大型定点医院在新农合实施过程中占有举足轻重的地位,为新农合的顺利实施起到了非常重要的推动作用,从医疗技术服务和社会公共责任两方面都做出了应有的贡献。
[Objective] To understand the change of the total number of patients in a municipal-level top-three hospital from 2004 to 2008 and the proportion of rural patients, and to understand the status and role of large-scale fixed-point hospitals in the new rural cooperative medical situation. [Methods] The stratified sampling method was used to count the outpatient diaries and discharged cases from 2004 to 2008. The composition ratio of rural patients in outpatients and inpatients was analyzed. Finally, the proportion of rural patients and the annual growth rate were obtained. [Results] The total number of outpatients and inpatients in large fixed-point hospitals increased significantly since the implementation of new-type rural cooperative medical care. Among them, the proportion of rural patients and non-rural patients increased by χ2 and t test, and the difference was statistically significant. [Conclusion] This fully proves that large fixed-point hospitals in cities occupy a pivotal position in the implementation of NCMS and play an important role in promoting the smooth implementation of NCMS. Both medical and technical services and social public responsibility Made due contributions.