北京地区儿童先天性心脏病住院服务市场的特征分析.pdfVIP

北京地区儿童先天性心脏病住院服务市场的特征分析 1 1∗ 2 汤淑女 ，简伟研 ，卢铭 1. 北京大学公共卫生学院卫生政策与管理系北京 100191 2. 北京大学基础医学院医学信息系北京 100191 【摘要】目的：探索北京地区儿童先心病住院服务市场的特征。方法：从“北京市 2005 2010 4 出院病人病案首页数据库”中，提取 至 年因患 类先心病在北京地区医 0-14 疗机构接受住院治疗并出院的全部儿童（ 岁）病例，计算不同医院的市场份额， 并采用Logistic 回归和多重线性回归模型，对不同市场份额的医疗机构此类疾病住 院服务绩效进行了比较。结果：此类型的病例主要（93% ）集中于三家医院。与 其它医疗机构相比，份额高的医疗机构其治疗技术、质量较高，住院时间较短，住 院费用的趋势不尽一致。结论：在促进医院普遍开展儿科服务的政策基础上，应引 导医疗机构结合自身优势确定发展方向和功能定位，形成具有一定规模的儿科诊疗 服务。 【关键词】市场特征；儿童先天性心脏病；住院服务 Analysis of market characteristics of children’s congenital heart disease inpatient services in Beijing area 1 1 2 Tang Shunv , JIAN Wei-yan , LU Ming 1. Department of Health Policy and Management, School of Public Health, Peking University, Beijing 100191 ，China. 2. Department of Health Information, School of Basic Medical Science, Peking University, Beijing 100191, China. Abstract Objective: To explore the market characteristics of children’s congenital 【 】 heart disease inpatient services in Beijing area. Methods: Data of patients suffering from four types of congenital heart disease and aged from 0 to 14 during 2005 to 2010 were ∗ 基金项目： *中华医学基金会（CMB ）资助项目（项目编号：10‐008 ） 作者简介：汤淑女，女( 1985 年— )，博士研究生，主要研究方向为卫生政策与管理。E‐mail: tangshunv@ 通讯作者：简伟研，E‐mail: jianweiyan@ drawn from the Database of Inpatient Record to calculate the different hospitals market share, and compare the performance of hospitalization between the medical institutions of relatively large market share and other medical institution using logistic regression and multiple linear regression model. Results: The most cases ( 93% ) concentrated in three hospitals. Compared with other medical institutions, the medical institutions of relatively high market share have higher level of treatment tech