北京市医药分开综合改革对急诊轻症患者就医行为的影响

doi:10.3969/j.issn.1002-1949.2019.10.010

Chinese Journal of Critical Care Medicine

2019, Vol. 39

Issue (10): 967-970 DOI: 10.3969/j.issn.1002-1949.2019.10.010

The influence of Beijing Medical Care Reform on medical behavior of emergency patients with mild disease

Wu Meng, Cao Lin, Ge Hong-xia, Zhang Hua, Ma Qing-bian

Department of Emergency, Peking University Third Hospital, Beijing 100191, China

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Abstract Objective To explore the influence of Beijing medical care reform in 2017 on the medical behavior of emergency patients with mild disease. Methods From 19 March to 17 May 2017, questionnaires were collected from patients in the emergency department of Peking University Third Hospital. Taking the 8 April 2017 when Beijing began to implement medical care reform as a node, the research objects were divided into pre-medical reform group, intra-medical reform group and post-medical reform group according to 20 days before medical reform, 20 days after medical reform and 21-40 days after medical reform. Then statistical analysis was performed on the medical behavior of emergency patients with mild disease. Results In this study, 6055 questionnaires were collected, 5944 of them were valid, and the effectiveness was 98.2%. Among them, 2690 (45.3%) were male; the median age was 35 years old. Compared with the pre-medical reform group, the proportion of patients with non-acute disease were decreased in the intra-medical reform group and post-medical reform group (27.1% vs. 33.2%, 21.9% vs. 33.2%), the proportion of patients who signed up for the GP were increased in the intra-medical reform group and the post-medical reform group (4.0% vs. 1.8%, 4.4% vs. 1.8%). Compared with the pre-medical reform group, among the patients who signed up for the GP, the proportion of them with non-acute disease were decreased in the intra-medical reform group and the post-medical reform group (14.5% vs. 34.6%, 12.6% vs. 34.6%). The differences were statistically significant (P＜0.05). Conclusion The proportion of patients with non-acute disease were decreased after the Beijing medical care reform in 2017. The proportion of patients who sign up for the GP has increased and the proportion of patients with non-acute disease were declined among them after the Beijing medical care reform in 2017. 

Key words： Emergency department Medical care reform Non-Acute Patients Medical behavior

Corresponding Authors: Ma Qing-bian, E-mail: maqingbian@bjmu.edu.cn

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	Wu Meng
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Cite this article:

Wu Meng,Cao Lin,Ge Hong-xia, et al. The influence of Beijing Medical Care Reform on medical behavior of emergency patients with mild disease[J]. Chinese Journal of Critical Care Medicine, 2019, 39(10): 967-970.

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http://www.cnemergency.org.cn/EN/10.3969/j.issn.1002-1949.2019.10.010 OR http://www.cnemergency.org.cn/EN/Y2019/V39/I10/967

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