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对哈尔滨市社区卫生服务现状和基本医疗保险参保就诊者患病情况进行调查,结果显示:社区卫生服务中心拥有常规临床检查设备,对全身各系统的常见病、多发病以及慢性病康复期进行诊治;同时,大部分机构能开展健康教育、预防保健、康复指导等。对基本医疗保险参保就诊者的患病情况调查结果显示,门诊患者和住院患者年龄集中在60岁左右,所患疾病的57.2%是循环系统、呼吸系统和消化系统的常见病、多发病以及一些慢性病,大部分疾病可以在社区卫生服务中心诊治。为此,对社区卫生服务机构承担基本医疗保险需具备的条件和工作切入点进行了探讨,并对应采取的措施和对策提出了建议。
A survey was conducted on the current status of community health services in Harbin and the prevalence of medical insurance participants. The results showed that the community health service center had routine clinical examination equipment to diagnose and treat common and frequently-occurring diseases of the general system and the recovery period of chronic diseases. At the same time, most institutions can carry out health education, preventive health care, and rehabilitation guidance. The results of the investigation on the prevalence of attendees of basic medical insurance showed that outpatients and inpatients were aged about 60 years old, and 57.2% of the affected patients were common, frequently-occurring, and circulatory, respiratory, and digestive diseases. For some chronic diseases, most of the diseases can be diagnosed and treated at community health centers. To this end, it discusses the necessary conditions and work entry points for community health service organizations to undertake basic medical insurance, and proposes corresponding measures and countermeasures.