医药分开综合改革对北京市朝阳区信访量的影响
|
摘要
目的:了解自医药分开综合改革实施后,北京市朝阳区2016-2017年医改有关的信访件数量及信访内容情况;分析该类信访件产生的原因,为进一步深化医药分开综合改革的实施提出政策建议。方法:通过既往信访资料分析医改有关的信访件现状及产生原因,采用Excel2010进行描述性统计分析。结果:2016-2017年朝阳区各级医疗机构信访件中,医疗卫生类信访件同比增长74.10%,药品问题类及收费问题类分别同比增长234.13%和369.70%,其中明确与医改有关的145件信访件中,药品类占71.03%,收费类占24.14%;以医改实施时间为截点,将该截点前后月均信访件数量进行比较,2015-2016年药品类及收费问题增幅均不足20%,2016-2017年两类信访件增幅均超过180%。结论:药品问题、收费问题是受医药分开综合改革政策影响最大的两类信访问题,是信访风险增加的主要原因。建议进一步做好医改政策宣传解释工作,完善政策反馈机制,降低信访风险。
Objective: To study the quantity and contents of petition letters related to Beijing's Comprehensive Reform of Separating Drugs from Medical Services in Beijing Chaoyang District from 2016 to 2017,and to analyze the causes of these petitions,so as to put forward countermeasures for further deepening the implementation of the medical reform. Methods: Previous data of health petitions were analyzed for the situation and causes of the petition letters associated with medical reform. The quantitative data was analyzed by descriptive analysis using Excel2010. Results: From 2016 to 2017,The number of petition letters categorized as medical and healthcare issues increased by 74.10% year-on-year. Among the petition letters of medical and healthcare issues,the petition letters of drug issue and charging issue increased by 234.13% and 369.70%,respectively. And 145 petition letters were related to the medical reform,with drug issue and charging issue accounting for 71. 03% and 24. 14%,respectively. Taking the launch time of the medical reform as the cut-off point,the monthly average number of petitions before and after the cut-off point was compared. The monthly average number of petition letters of drug issue and charging issue increased by less than 20% in 2015-2016 after the cut-off point,while they increased by over 180% in 2016-2017. Conclusion: Drug and charging issues are the main types of petitions affected by Beijing's Comprehensive Reform of Separating Drugs from Medical Services,they also mainly account for the increased overall petition risk. In view of this,it's suggested to further improve the publicity and interpretation of the medical reform policies and the feedback mechanism,thereby reducing the petition risk.
Objective: To study the quantity and contents of petition letters related to Beijing's Comprehensive Reform of Separating Drugs from Medical Services in Beijing Chaoyang District from 2016 to 2017,and to analyze the causes of these petitions,so as to put forward countermeasures for further deepening the implementation of the medical reform. Methods: Previous data of health petitions were analyzed for the situation and causes of the petition letters associated with medical reform. The quantitative data was analyzed by descriptive analysis using Excel2010. Results: From 2016 to 2017,The number of petition letters categorized as medical and healthcare issues increased by 74.10% year-on-year. Among the petition letters of medical and healthcare issues,the petition letters of drug issue and charging issue increased by 234.13% and 369.70%,respectively. And 145 petition letters were related to the medical reform,with drug issue and charging issue accounting for 71. 03% and 24. 14%,respectively. Taking the launch time of the medical reform as the cut-off point,the monthly average number of petitions before and after the cut-off point was compared. The monthly average number of petition letters of drug issue and charging issue increased by less than 20% in 2015-2016 after the cut-off point,while they increased by over 180% in 2016-2017. Conclusion: Drug and charging issues are the main types of petitions affected by Beijing's Comprehensive Reform of Separating Drugs from Medical Services,they also mainly account for the increased overall petition risk. In view of this,it's suggested to further improve the publicity and interpretation of the medical reform policies and the feedback mechanism,thereby reducing the petition risk.
引文
[1]许欣悦,王宁利,李卫红,等.医药分开综合改革医疗数据分析[J].中国病案,2017,18(12):67-70.
[2]董保华,王信敏.山东省东营市公立医院改革成效综合评价[J].医学与社会,2016,29(9):50-53.
[3]张曼莉,李平,叶苓,等.北京医药分开综合改革下医院发展现状的SWOT分析[J].中国医药导刊,2017,19(8):842-845.
[4]江欣禅,徐伟,吴玉霞,等.城市公立医院医药价格综合改革的影响分析[J].卫生经济研究,2017(11):45-47.
[5]倪娜娜,刘宝花,白江梁,等.北京市朝阳区社区卫生服务机构信访原因及对策研究[J].中国全科医学,2017,20(28):3477-3481.
[6]安丽娜.信访与多元行政纠纷解决机制构建问题研究[J].社会科学家,2015(4):53-57.
[7]陆琤,钱东福.医改背景下慢性病患者的就医选择及影响因素[J].广西医学,2017,39(2):234-237.
[8]季文峰,朱妍.医药价格改革后医院门诊收入结构变化及管理对策[J].江苏卫生事业管理,2017,28(5):114-116.
[9]蒋艳,满晓玮,赵丽颖,等.医改前后北京市医疗机构费用及药品费用比较分析[J].医学与社会,2017,30(2):15-18.
[10]张甄,刘双梅,李勇.C市城市公立医院医药价格改革效果研究[J].现代医院,2017,17(10):1405-1408.
[11]罗晓英,陈颖.“医事服务费”制度对医院的影响:以北京市某区级公立医院为例[J].中国医院,2017,21(3):42-43.
[12]王秋樵,李凤如,史培娜,崔玫,李茜.医药分开政策对北京市某三甲医院医患双方的影响[J].医学与社会,2016,29(9):47-49.
[13]张慧霞,刘红霞.北京市医药分开综合改革政策解答[J].北京劳动保障职业学院学报,2017,11(2):69-72.
[14]欧阳宏杰.北京市医药分开综合改革在海淀区上庄镇社区卫生服务中心实施半年的成效分析和思考[J].中国社区医师,2018,34(4):177-179.
[2]董保华,王信敏.山东省东营市公立医院改革成效综合评价[J].医学与社会,2016,29(9):50-53.
[3]张曼莉,李平,叶苓,等.北京医药分开综合改革下医院发展现状的SWOT分析[J].中国医药导刊,2017,19(8):842-845.
[4]江欣禅,徐伟,吴玉霞,等.城市公立医院医药价格综合改革的影响分析[J].卫生经济研究,2017(11):45-47.
[5]倪娜娜,刘宝花,白江梁,等.北京市朝阳区社区卫生服务机构信访原因及对策研究[J].中国全科医学,2017,20(28):3477-3481.
[6]安丽娜.信访与多元行政纠纷解决机制构建问题研究[J].社会科学家,2015(4):53-57.
[7]陆琤,钱东福.医改背景下慢性病患者的就医选择及影响因素[J].广西医学,2017,39(2):234-237.
[8]季文峰,朱妍.医药价格改革后医院门诊收入结构变化及管理对策[J].江苏卫生事业管理,2017,28(5):114-116.
[9]蒋艳,满晓玮,赵丽颖,等.医改前后北京市医疗机构费用及药品费用比较分析[J].医学与社会,2017,30(2):15-18.
[10]张甄,刘双梅,李勇.C市城市公立医院医药价格改革效果研究[J].现代医院,2017,17(10):1405-1408.
[11]罗晓英,陈颖.“医事服务费”制度对医院的影响:以北京市某区级公立医院为例[J].中国医院,2017,21(3):42-43.
[12]王秋樵,李凤如,史培娜,崔玫,李茜.医药分开政策对北京市某三甲医院医患双方的影响[J].医学与社会,2016,29(9):47-49.
[13]张慧霞,刘红霞.北京市医药分开综合改革政策解答[J].北京劳动保障职业学院学报,2017,11(2):69-72.
[14]欧阳宏杰.北京市医药分开综合改革在海淀区上庄镇社区卫生服务中心实施半年的成效分析和思考[J].中国社区医师,2018,34(4):177-179.