[目的]比较社区定点与非定点就医管理模式对参保人员门诊费用及其门诊服务利用的影响。[方法]利用调查地区医疗保险经办机构数据库收集数据,采用SPSS18.0对数据进行分析。[结果]社区定点人群的受益率及参保人员门诊人次数小于非定点人群。社区定点人群自付门诊费用均小于非定点人群,门诊总费用、统筹基金补偿费用大于非定点人群。[结论]尚不能认为社区定点就医管理可以降低门诊医疗费用与医疗保险支出成本。 [Objective] To compare the impact of community fixed-point and non-fixed-point medical management on outpatient service costs and outpatient service utilization. [Methods] Data were collected from the databases of medical insurance agencies in the survey area, and SPSS18.0 was used to analyze the data. [Results] The rate of benefit of fixed-point community and the number of outpatients were lower than those of non-fixed-point population. Community fixed-point population out-patient payments are less than non-fixed-point population, the total out-patient costs, co-ordination fund compensation costs more than non-fixed-point population. [Conclusion] It can not yet be considered that the community-based medical management can reduce the outpatient medical expenses and the medical insurance expenditure costs.