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合作医疗改革对门诊医疗服务利用影响较大,两周就诊率改革前和改革后分别为152.3‰和159.9‰。基线调查和终末调查两周就诊患病比分别为1.09和1.92,两周患病的门诊服务利用是改革前的1.76倍。改革前后两周患病就诊的医疗单位构成,差异有显著性,其中村卫生室就诊的比例增高,个体医、乡镇卫生院及以上就诊的比例下降。未就诊率由改革前的18.2%降为改革后的7.8%,差异有显著性。
The cooperative medical reform has a greater impact on outpatient medical service utilization. The two-week visit rate reforms were 152.3‰ and 159.9‰, respectively, before and after the reform. Baseline and final surveys had a prevalence ratio of 1.09 and 1.92 for two weeks, and two-week outpatient service utilization was 1.76 times higher than before the reform. There was a significant difference in the composition of the medical units that were diagnosed with illness during the two weeks before and after the reform, in which the proportion of medical visits to the village clinics increased, and the proportion of individual physicians, township and township hospitals, and the above visits decreased. The rate of non-consultation was reduced from 18.2% before reform to 7.8% after reform, and the difference was significant.