中文摘要：

研究为进一步探讨影响农村居民常见病分流的相关因素,在对现场调查的门诊疾病标准化分类后,组织临床专家以＂适宜＂和＂实际＂为标准对病种是否可以分流做出判断。结果显示,33种门诊常见病有25种适宜分流到乡镇卫生院,考虑到乡镇卫生院的实际服务能力,现实条件下只有21种可以实现分流。25种适宜分流的疾病患者有83.11%实际在县级医疗机构就诊,可见农村地区门诊常见病有较大的分流空间。从医疗服务体系设计的角度,县乡医疗机构功能定位不明确,乡镇卫生院实际服务能力不足,影响了农村地区常见病的合理流向。

英文摘要：

The on-site surveyed outpatients′ diseases were standardized classified,and judged by clinical experts to decide where it was appropriate to be referred,with the standard of suitability and practicality.The results showed that,of 33 kinds of common diseases,25 cases were suitable for referring to township health clinics.But considering township health clinics′ ability,only 21 kinds of diseases can be involved in practically.83.11% of patients with these 25 kinds of diseases were actually treated by hospitals at county level.In view of designing medical service system,the undefined positioning of medical institutions′ function and poor ability of township health clinics had influenced the reasonable flow of common diseases in rural areas.