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目的调查江苏省高邮市医疗卫生单位门诊患者的病种结构、就诊费用、患者满意度等卫生服务需求基线资料。方法采用整群抽样法,从高邮市医疗卫生单位抽取5家医院进行门诊一日调查。调查内容包括门诊就诊患者的社会人口学资料及就医情况。结果共回收有效问卷795份,女性患者较多,年龄构成以20～40岁人群和40～60岁人群为主。56.2%的患者来自县级医院,69%的患者居住在农村。患者以初中以下学历为主,无业或失业者较多。就诊科室以内科、外科多见;疾病构成以消化系统疾病、骨骼肌肉疾病常见;86.7%的患者可以报销医疗费用。结论江苏省农村卫生工作取得了巨大成就,但仍存在诸多问题,应继续深化农村医疗改革,进一步推广农村卫生适宜技术。
Objective To investigate the baseline data of health service demand such as the patient’s disease structure, medical expenses, patient satisfaction and other outpatients in Gaoyou, Jiangsu Province. Methods A cluster sampling method was used to collect five hospitals from the medical and health units in Gaoyou to conduct outpatient one day investigation. The survey included the socio-demographic data and medical treatment of outpatients. Results A total of 795 valid questionnaires were collected. There were more female patients and their age was mainly from 20 to 40 years old and 40 to 60 years old. 56.2% of patients came from county hospitals and 69% lived in rural areas. Patients with junior high school education based, unemployed or unemployed more. Department of internal medicine, surgical see more common; diseases constitute digestive diseases, skeletal muscle diseases common; 86.7% of patients can claim medical expenses. Conclusions Jiangsu Province has made tremendous achievements in rural health work, but many problems still exist. We should continue to deepen rural health care reform and further promote suitable technologies for rural health.