2013—2022年北京市儿科出院患者流动就医情况分析

聂瀚林; 石学峰; 董兆敏; 臧白; 路凤

引用本文：聂瀚林, 石学峰, 董兆敏, 臧白, 路凤.2013—2022年北京市儿科出院患者流动就医情况分析[J].中国卫生政策研究,2024,17(7):35-42

2013—2022年北京市儿科出院患者流动就医情况分析

投稿时间：2024-04-08 修订日期：2024-05-10 PDF全文浏览 HTML全文浏览

聂瀚林¹, 石学峰¹, 董兆敏², 臧白³, 路凤^3,4

1. 北京中医药大学管理学院北京 100029;
2. 北京航空航天大学空间与环境学院北京 100191;
3. 北京市卫生健康大数据与政策研究中心(北京市医院管理研究所) 北京 100034;
4. 北京市医疗管理数据质量控制和改进中心北京 100034

摘要:目的：分析2013—2022年北京市儿科出院患者流动就医情况，为合理规划儿科医疗资源配置提供数据支撑。方法：对北京市二级及以上医疗机构的儿科出院患者的数量、来源和流向等情况进行描述比较和可视化分析。测算跨区就诊率和负荷占比来反映流出地的病人流出率和流入地的医疗服务供给压力。结果：北京市二级及上医疗机构的儿科出院患者中外省患者占比为53.34%；河北省、山东省、河南省、内蒙古自治区和山西省是最主要来源省份，五省(自治区)累计占比为68.02%。外省儿科患者主要流向西城区、三甲医院、儿童医院，与北京市本市患者主要流向一致。16个行政区之间存在儿科患者交互流动现象。2020—2022年，房山区、大兴区、怀柔区、平谷区、密云区和延庆区的儿科患者年平均跨区就诊率均有较大幅度增长。在考虑外省患者后，各行政区的负荷占比均有不同程度的增长，西城区呈现高倍增长。结论：北京市的外省儿科患者和本市跨区就诊患者的流动性均比较大，且在就诊选择上均具有很高的目标性和集中性。建议制定有针对性的医疗功能疏解工作方案，按人群、按需求合理分流儿科病人，引导儿科病人合理流动就医。

关键词:流动就医儿科出院患者北京

基金项目:首都卫生发展科研专项项目(首发2022-2G-2049)

Medical mobility analysis of discharged pediatric patients in Beijing between 2013 and 2022

NIE Han-lin¹, SHI Xue-feng¹, DONG Zhao-min², ZANG Bai³, LU Feng^3,4

1. School of Management, Beijing University of Chinese Medicine, Beijing 100029, China;
2. School of Space and Environment, Beihang University, Beijing 100191, China;
3. Beijing Municipal Health Big Data and Policy Research Center(Beijing Institute of Hospital Management), Beijing 100034, China;
4. Beijing Center for Quality Control and Improvement of Medical Management Data, Beijing 100034, China

Abstract:Objective: To analyze the mobile of pediatric discharged patients in Beijing from 2013 to 2022 and provide data support for rational planning of pediatric medical resource allocation. Methods: The number, source and flow of pediatric discharges from secondary and higher-level medical institutions in Beijing were described and compared and analyzed visually. Two indicators, the cross-district consultation rate, and the load share ratio, were measured to reflect the outflow rate of patients from the outflow areas and the pressure on the supply of healthcare services in the inflow areas. Results: The proportion of pediatric discharged patients from secondary and upper medical institutions in Beijing was 53.34%. Hebei, Shandong, Henan, Inner Mongolia Autonomous Region, and Shanxi were the main source provinces, with a cumulative proportion of 68.02%. Pediatric patients from other provinces mainly flowed to Xicheng District, tertiary hospitals, and children's hospitals, which was consistent with the main flow of patients in Beijing. There was an interactive flow of pediatric patients between the 16 administrative districts. Between 2020 and 2022, the average annual cross-regional consultation rate of pediatric patients in Fangshan District, Daxing District, Huairou District, Pinggu District, Miyun District, and Yanqing District all had relatively large increases. After considering patients from outlying provinces, the load share of each administrative district increased to varying degrees, with Xicheng District showing a high multiplier increase. Conclusions: The mobility of pediatric patients from other provinces and cross-regional visits in Beijing was relatively high, and both had high targeting and concentration in their choice of visits. It is recommended that a targeted work plan for the relocation of medical functions be formulated, and paediatric patients should be reasonably triaged according to their population and needs, so as to guide a reasonable flow of paediatric patients to seek medical treatment.

Key words:Medical mobility Pediatrics Discharged patients Beijing

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