Research On The Status Quo Of Medical Treatment Of Residents Outside Beijing Municipal Hospitals

Objective:taking the patient cases of 17 municipal hospitals of Beijing as data source,to analyze the total quantity of non-Beijing resident patients and their disease features and spending variance,to reflect contribution the 17 municipal hospitals made to medical service for non-Beijing patients in the aspect of medical resources and to provide data support for reasonable planning of medical resources,government decision-making and scientific research about the healthcare industry in Beijing.This paper was also earried out a special study how the medical service was for patients of Hebei Province,who were the main body of patients seeking medical advice in Beijing,with a view to analyzing the characteristics and reasons of them,and to providing reference data for the development of Beijing-Tianjin-Hebei medical integration.Methods:The methods of literature research,expert consultation,statistical description and analysis were mainly adopted.Literature research:Medical literatures at home and abroad about receiving non-local medical treatment were looked up through SDOL such as CNKI,CQVIP,WANFANG DATA and English database such as PubMed and Web of Science and according to the progress of these related researches,the train of thought and breakthrough point of this study was determined.Expert consultation:Government departments and experts of relevant medical institutions were consulted for adjusting the emphasis of this study according to the experts' advice and actual demand;for corresponding proposals in combining experts' advice and literature research.Statistical description and analysis:This method was used in order to analyze and compare related data between different localities which the non-resident patients were from,between Beijing city and non-Beijing cities,and between different cities in Hebei Province.By surnmarizing the characteristics,similarities and differences,influence factors of big differences were further researched.Content:(1)analyzing the localities which the patients having received medical treatment in the 17 municipal hospitals in 2014 were from,the amount of medical services,the medical expenses,the hospitals they chose,and their gender and age;comparing differences between the non-Beijing patients and the local patients;reflecting contribution the 17 municipal hospitals made to health care for non-Beijing patients in the aspect of medical resources.(2)taking difference of fee per time between the non-Beijing patients and the local patients as the breakthrough point,comparing non-Beijing patients with the local patients in the aspect of disease categories,the hospitals they chose,the disease condition and so on;analyzing the cause of the difference of patients in the same conditions.(3)starting with the difference of disease categories,analyzing the difference of patients in the same disease and deeply analyzing the reason.(4)taking patients from Hebei Province who is the main body of patients seeking medical advice in Beijing as the research object,analyzing the amount of medical services,the expenses of outpatient service and hospitalization and disease eharacteristics of patients from Hebei Province;reflecting the medical service supply situation of the 17 municipal hospitals for Hebei Province.Conclusion:Among the patients having received medical treatment in the 17 municipal hospitals in 2014,the local patients were the main body of the patients;the non-resident patients mainly used outpatient service of medical resources in Beijing and mainly came from the eastern region-the patients mainly came from Hebei Province among the eastern region;the total medical spending of patients from Hebei Province was relatively great but spending per time was relatively few and disease type of them was basically consistent with other non-resident patients.Outpatient service expense was less than the hospitalization expense in these 17 hospitals.The non-resident patients mainly used hospitalization service of medical resources in Beijing and mainly chose specialized hospital.The non-resident patients preferred to specialized hospital having advantages.Children,pregnant women and elderly were main parts of local patients while children aged 0 to 4 and patients aged 25 to 54 were main parts of patients elsewhere.For hospitalization service,the proportions gap of different age groups of Patients was not big except a small amount of patients aged 15 to 24.Focus of disease control and prevention should be distinguished for different age groups and gender of patients,5o it was difficult to prevent and control requirements of medical service for non-resident patierits.Tumor and digestive system disease were major disease categories of non-resident patients having received medical treatment in Beijing.For patients with similar illnesses,fee per time non?resident patients need to pay was higher than local patients mainly because of heavier disease condition.Several municipal hospitals undertook a large amount of medical service for non-resident patients and even they became main body of patients in these hospitals.