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目的对一般诊疗费实施后基层医疗机构基本医疗状况的变化进行分析探讨,为今后的医疗管理工作提供可靠的参考依据。方法对比分析本院实施一般诊疗费前后医疗状况的变化情况。结果在实施一般诊疗费后社区医生的诊疗行为得到明显改善,静脉输液率降低,过度用药现象得到缓解,群众不合理医药费用负担发生显著降低。结论一般诊疗费的实施可以改善基层医疗机构的基本医疗状况,值得关注与推广。
Objective To analyze and discuss the changes of basic medical conditions of primary medical institutions after the implementation of general medical expenses, so as to provide a reliable reference for future medical management. Methods Comparing the changes of medical conditions in our hospital before and after the implementation of general medical expenses. Results After the implementation of the general medical fee, the community physicians’ behaviors of diagnosis and treatment were significantly improved, the rate of intravenous infusion was reduced, the phenomenon of overuse was relieved, and the burden of unjustified medical expenses was significantly reduced. Conclusion The implementation of general medical fees can improve the basic medical conditions of primary medical institutions, deserve attention and promotion.