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城市三级医院的门诊及住院病人,在不影响诊疗质量的前提下,可分流到城市二级医院(区级医院)和一级医院(街道医院)的比例很高。因此,合理安排城市三级医院门诊与住院病人就诊,对减少卫生费用有着举足轻重的作用。本次调查结果表明:城市三级医院一日门诊病人可分流到区、街医院的合计占总病人的64.81％,卫生费用(门诊费用)节省的比例为40.56％;城市三级医院时点全部住院病人可分流到区、街医院的合计占总病人的76.83％,住院费用节省的比例为40.00％。分流城市三级医院病人对未来卫生费用的影响巨大,经测算从2000年到2030年的30年间,全国卫生总费用将节省1119988.15亿元。
Outpatients and inpatients in tertiary hospitals in cities can enjoy a high proportion of secondary hospitals (district hospitals) and primary hospitals (street hospitals) in urban areas without affecting the quality of diagnosis and treatment. Therefore, the rational arrangement of outpatient and outpatient visits to tertiary hospitals in urban areas plays a decisive role in reducing the cost of health care. The survey results show that: outpatient patients in urban tertiary hospitals can be diverted to the district day, the total number of street hospitals accounted for 64.81% of the total patients, the cost of health (out-patient expenses) savings was 40.56%; city tertiary hospitals at all times Inpatients can be diverted to the district, street hospitals together accounted for 76.83% of the total patients, hospitalization savings rate of 40.00%. Third-tier hospitals in shunt cities have a huge impact on future health costs. After calculating the 30-year period from 2000 to 2030, the total national health expenditure will be saved by RMB111,998,815 million.