[1]赵瑞杰 冯昊 马山蕊 马箐 刘志才 李爱丽 于晓东 王五洲 宋运河 魏文强.林州市县-乡-村三级医疗机构接诊疾病类型分析[J].中国卫生质量管理,2017,24(04):103-106.[doi:10.13912/j.cnki.chqm.2017.24.4.34]
点击复制

林州市县-乡-村三级医疗机构接诊疾病类型分析
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第24卷
期数:
2017年04期
页码:
103-106
栏目:
问题与探索
出版日期:
2017-07-28

文章信息/Info

作者:
赵瑞杰 冯昊 马山蕊 马箐 刘志才 李爱丽 于晓东 王五洲 宋运河 魏文强
中国医学科学院北京协和医学院
关键词:
林州; 县-乡-村; 疾病类型; 分级医疗
Keywords:
Linzhou;  County-Township-Village;  Disease Type;  Graded Medical Treatment
DOI:
10.13912/j.cnki.chqm.2017.24.4.34
摘要:
目的对比分析林州市县-乡-村三级医疗机构接诊的疾病类型，评估该地区三级医疗网络是否有效地解决了常见病和多发病就诊问题。方法收集林州市县-乡-村三级医疗网络中11所医疗机构2013年10月-2015年7月所接诊的疾病信息，进行回顾性对比统计分析。结果县级医疗机构住院患者疾病分类中循环系统疾病的构成比（22.66%）最高，其次是呼吸系统疾病（14.16%）、妊娠分娩和产褥期疾病（14.16%）、肿瘤（10.98%）和消化系统疾病（7.22%）。各乡级医疗机构的接诊能力及接诊病种差异明显，其中姚村卫生院因独有的早期食管癌诊疗特色使肿瘤高居其疾病分类首位，其他乡镇卫生院则以循环系统疾病为主要病种。各村级医疗机构整体以呼吸系统疾病、消化系统疾病为主要疾病。结论林州县-乡-村三级医疗机构间的主要接诊病种既有层次差异又有相互重叠之处；同级医疗机构接收疾病类型存在一定差距，但能满足林州市居民的基本就诊需求。
Abstract:
ObjectiveTo compare and analyze the types of disease admitted in country-township-village tertiary medical network in Linzhou, and evaluate whether it solved the medical care problems on common diseases and frequently occurring diseases. Methods The data on admitted diagnosis in 11 medical institutions from the tertiary care network from October 2013 to July 2015 in Linzhou were collected for retrospective comparative statistical analysis.ResultsIn country medical institutions, the top rank inpatients’ diseases was the circulatory system diseases (22.66%), followed by diseases of the respiratory system (14.16%), pregnancy, childbirth and puerperium diseases (14.16%), tumor (10.98%), and diseases of the digestive system (7.22%). There had obvious differences on the admissibility and admitted diseases among the township medical institutions. Among them, Yao village hospital was the top rank in the diagnosis and treatment of esophageal cancer. The other township hospitals were mainly based on the circulatory system diseases. The village-level medical institutions mainly treated respiratory diseases and digestive diseases. ConclusionThere were both level difference and overlaps in the main disease distribution admitted in country-township-village tertiary medical institutions in Linzhou. Although there were differences in clinics between institutions of the same level, the tertiary medical network in Linzhou had generally met the medical care demands of residents.

参考文献/References:

［1］李继光. 辽宁省不同规模医院住院疾病谱对比分析［J］.中国医院管理, 2003, 23(5): 24-27.

更新日期/Last Update: 2017-07-28