Abstract:Objective To explore the situation of the disease constitution for patients in a hospital from 2010 to 2014, and to provides data support for hospital management. Methods We collected and organized the data of the first page of medical records, with a standard of international classification of diseases (ICD-10), to analysis the situation of the disease constitution and disease order for patients in a hospital l in recent five years. Results The constitution of the top ten system diseases during 2010-2014 was stable, and the inpatients with the top ten system diseases were 86% of total inpatients. The constituent ratio of tumor and circulatory disease ranked the first and the second, accounting for 25% and 16% respectively. Patients with the factors influencing health status and contact with the health care organization were on the rise (χ2=583.39, P<0.05). Patients with respiratory disease were declining (χ2=123.68,P<0.05). Patients with the external reasons of injury or poisoning were declining obviously in recent five years (χ2=363.58, P<0.05). Patients over 15years old accounted for 93.52%. The priority disease of patients whose age was below 15 years old was different from adult patients. The prevalence rates in tumor, circulatory system disease, the factors influencing health status and contact with the health care organization, and digestive system disease were high for patients over 45 years old. Babies, infants and the elderly were susceptible to respiratory disease. In addition to the exceptional disease, the number of male patients was generally higher than that of women (χ2=10000, P<0.05). Conclusion According to the changes of the diseases spectrum, we should put stress on the top ten diseases. At the same time, we should carry out the diagnosis and treatment work on the basis of focus groups about different diseases. Second, we should develop important profession research of the hospital, increase the beds number of them, and allocate health resource according to the requirements of the patients reasonably. Then on this basis we should carry the study of diseases category and DRGs.
张文. 某医院2010—2014年出院病人疾病构成分析[J]. 中国医院统计, 2016, 23(3): 176-179.
Zhang Wen. Analysis about disease constitution of patients in a hospital from 2010 to 2014. journal1, 2016, 23(3): 176-179.