【摘要】 目的:了解农村地区再入院现状,为分级诊疗制度的推行提供政策建议。方法:从东中西部地区随机选择7个样本县区,以2012—2013年新农合数据库作为数据来源,利用Excel 2010编程技术和函数筛选出30天内再入院数据,利用SPSS20.0对再入院患者进行描述性分析。结果:7个县区再入院率平均水平为9.03%,地区间差异较大,县乡跨级再住院率平均水平不足23%;再入院疾病以慢性病、复杂病为主。结论:诊疗范围的确定需要考虑到同级别医疗机构之间诊疗能力的差异;跨级再入院比例低,服务供给不整合;经济因素影响再入院;再住院疾病构成利于分级诊疗推行。更多还原

【Abstract】 Objective:To acquire the current situation of readmission in rural areas,providing advices for performing of hierar-chical diagnosis system.Methods:7 sample counties and districts from the eastern,middle and western regions were randomly se-lected. Based on the new rural cooperative medical system(NCMS) database between 2012 and 2013, Excel 2010 programmingtechnology and functions were applied to select the data of readmission within 30 days. SPSS 20.0 was used to conduct descriptiveanalysis on patients with readmission.Results:The average level of readmission rate of 7 counties was 9.03%. There was great gapamong different regions. The average level of multi-institutional readmission rate was less than 23%; chronic disease and complex dis-ease were the main diseases of readmission.Conclusion:The define of diagnosis range needed to consider the differences of diagno-sis abilities among institutions with the same level; multi-institutional readmission rate was relatively low,the service supply was notintegrated; economic factors effected on readmission; the constitution of readmission would benefit the performing of hierarchical diag-nosis system.更多还原