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疫情前后转外就医变化及原因分析

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目的:分析某地级市三甲医院疫情前后转外就医变化,并对原因进行分析,提出合理化建议。方法:采用回顾性调查研究方法、对比分析法,描述分析2017-2019年与2020-2022年转外就医人次、转出科室、转外就医地点、外转病种等情况。结果:2020-2022年较2017-2019年转外就医人次、转外病种减少,转外病种变化明显,转外科室和转外地域无明显变化。结论:疫情影响转外就医频次和病种,疫情期间患者一般疾病选择区域内诊疗,但疫情对部分肿瘤患者,尤其恶性肿瘤转外就医影响程度不大。
Analysis of Changes and Reasons for Outward Medical Transfers Before and After the Ep-idemic
Objective:To analyze the changes of outward medical transfers before and after the epidemic in a prefecture-level city grade A tertiary hospital,and to analyze and discuss the reasons and put forward rationalization suggestions.Methods:Retrospective survey research method and comparative analysis method were used to describe and analyze the number of outward medical transfers,departments transferred out,locations of outward medical transfers,and types of outward medical transfers in 2017-2019 versus 2020-2022.Results:In 2020-2022 compared with 2017-2019,there was a decrease in the number of referrals for outpatient care and the types of outpatient diseases,a significant change in the types of outpatient diseases,and no significant change in outpatient depart-ments and outpatient geographic locations.Conclusion:Epidemics affect the frequency and types of diseases transferred out of the re-gion,and patients choose intra-regional treatment during general disease epidemics,but for some tumor patients,especially malignant tumors,epidemics do not have a significant degree of influence on transferring out of the region.

Outpatient ReferralEpidemicTypes of Outpatient ReferralOutpatient Referral Geography

邓竹溪、史力群、杨杨、吴文靖、郑瑞强

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苏北人民医院质控中心,江苏 扬州 225001

苏北人民医院院部,江苏 扬州 225001

转外就医 疫情 外转病种 转外地域

江苏省医学会"伦理协同审查机制探索与实践"专项课题江苏省医院协会2023年度医院管理研究创新课题苏北人民医院院级科研基金项目

SYH-330·81-0005JSYGY-3-2023-626YJJ201331

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(1)
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