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在为期6天的门诊病人调查中,共访问了2532人。92％的门诊病人是由于疾病来就诊。内科病人占一半,病种主要集中在呼吸系统与消化系统。用量最多的药品是抗感染药物与解热镇痛药,两者要占门诊用药的68.8％。平均每次门诊费用与药费分别为25.41元与14.52元,平均每次门诊用药数为2.03种,与国外报道及国内贫困县研究结果相比,都偏高。单因素与多因素分析都表示医疗保健制度对每次门诊费用有影响,公费医疗对门诊费用有负向作用,显示近期的公费医疗改革已初显成效。同时还表示医疗机构对每次门诊费用作用很大,在多因素分析中,与乡卫生院及村卫生室相比,县医院的偏回归系数最大。
In the 6-day outpatient survey, 2532 people were interviewed. Ninety-two percent of outpatients are referred for illness. Internal medicine accounts for half of the patients, and the diseases are mainly concentrated in the respiratory and digestive systems. The most used drugs were anti-infective drugs and antipyretic analgesics, both of which accounted for 68.8% of outpatient drugs. The average cost of outpatient services and medicines was 25.41 yuan and 14.52 yuan, respectively, and the average number of outpatients was 2.03, which was higher than the results of foreign reports and domestic poverty-stricken counties. Both univariate and multivariate analysis show that the health care system has an impact on the cost of outpatient visits. Publicly funded medical services have a negative effect on outpatient expenses, indicating that recent public health care reforms have begun to show results. At the same time, it also indicates that medical institutions have a large role in the outpatient expenses. In the multi-factor analysis, compared with the township health centers and village clinics, the county hospitals have the largest partial regression coefficients.