某三甲医院2006—2015年传染病流行特征及其住院费用的回顾性研究

doi:10.3969/j.issn.1006-5253.2016.04.004

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Abstract Objective To analyze the epidemiological characteristics and the trends of infectious diseases and its hospitalization expenses in a tertiary hospital in Weifang City, and to provide the theoretical basis for the effective prevention and control strategies. Methods We took the first diagnosis as the standard for inclusion of infectious diseases of hospitalized patients according to the ICD-10 through 10 years and analyzed the characteristics of the patient population and hospitalization expenses by descriptive analysis. Results A total of 7 327 cases of infectious diseases were admitted in the hospital from 2006 to 2015. During this period, diseased population showed a rise tendency as a whole (χ²=12.58, P<0.001), and the average annual growth rate was 11.63%. Enteric infectious diseases (95.34%), respiratory infectious diseases (35.31%) and natural focal and insect-borne infectious diseases (33.37%) occurred frequently in <20 years old group; blood and sexually transmitted diseases were highest in the 40-59 age group, followed by 20-39 age group, together up to 68.66%. The incidence of male was more than that of female according to different routes of transmission with the sex ratio 1.55∶1; The incidence of occupational population was dominated by kindergarten children and students (67.20%). Per capita hospitalization expenses were 5 120.41 yuan, cumulative price rise was 136.54% from 2006 to 2015. In different forms of payment for medical expenses, patients with health insurance accounted for 57.06%, and self-paid patients accounted for 42.94%. Hospital expenses of medicare patients were relatively higher than those of self-paid patients, and the expenses of medicare patients per capita were increasing year by year. Conclusion Excessive medical treatment existed among medicare patients and restraining the excessive growth of the hospitalization expenses was still one of the important point of the hospital for a long time.

Key words： infectious Diseases hospitalization expenses retrospective analysis

Received: 16 March 2016

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	Articles by authors
	Liu Hongyang
	Wang Fan
	Xiao Jinhuan
	Jia Yuanchun
	Liu Hongqing

Cite this article:

Liu Hongyang,Wang Fan,Xiao Jinhuan, et al. Retrospective study on the epidemic characteristics of infectious diseases and its hospitalization expenses in a hospital from 2006 to 2015[J]. journal1, 2016, 23(4): 250-253.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2016.04.004 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2016/V23/I4/250

[1] 李立明.流行病学[M].4版.北京:人民卫生出版社,2001:11.
[2] 张妍.天津市某区2000年—2013年传染病流行特征的研究[D].天津:天津医科大学,2014.
[3] 段志祥.安徽某三甲中医院住院费用结构分析[D].合肥:安徽医科大学,2014.
[4] 郭亚璋.湖南湘西某医院医保职工2003—2007年住院费用及影响因素分析[D].长沙:中南大学,2008.
[5] 王笑灵,高丽英,谢淑霞.2005—2009年某综合医院法定传染病流行特征分析[J].预防医学情报杂志,2011,27(7):504-506.
[6] 胡灿,姚光海,唐光鹏,等.贵州省2008—2012年肠道传染病流行病学分析[J].中华疾病控制杂志,2015,19(1):42-45.
[7] 陈宗良,钟朝晖,李群英,等.2003—2014年重庆市少数民族地区艾滋病流行特征分析[J].现代预防医学,2016,43(1):4-7.
[8] 滕方.我国输血不良反应现状调查及预防控制策略措施探讨[D].重庆:第三军医大学,2015.
[9] 胡晓燕,吴明辉,简讯.医务人员血源性传播疾病感染现状分析[J].现代医药卫生,2010,26(5):654-656.
[10]王醒,蒋华,吕海,等.院内感染控制现状及若干新技术途径[J].东南大学学报(医学版),2013,32(3):361-363.
[11]黄文龙,洪荣涛,欧剑鸣,等.福建省2004—2013年法定传染病流行特征分析[J].中华疾病控制杂志,2015,19(10):986-990.
[12]潍坊市卫生和计划生育委员会.2015年卫生统计年鉴[M].潍坊:维坊市卫生和计划生育委员会,2015.
[13]周海滨,刘小利,彭绩.2006—2009年深圳市住院伤害流行特征及住院费用研究[J].中华疾病控制杂志,2010,14(10):1004-1007.
[14]王志锋,尹爱田,张勇,等.运用医疗费用合理增长率测算方法评价我国医疗费用增长状况[J].中国医院管理,2002,22(9):36-38.
[15]张平,甘筱青.我国卫生总费用增长率周期性波动研究[J].中国卫生统计,2015,32(1):153-155.
[16]王滨,周永康,李娜娜,等.新农合住院费用控制的探讨[J].中国卫生事业管理,2010,5(263):330-332.
[17]姚希,贾建侠,赵秀莉,等.综合医院门急诊呼吸道传染病医院感染管理干预效果研究[J].中华医院感染杂志,2014,24(21):5415-5417.
[18]刘新春,袁乐平.定额结算制度下基本医疗保险住院费用控制方案探析[J].实用预防医学,2007,14(1):234-236.
[19]盛红旗,王黎勇,沈郁淇,等.潍坊市新型农村合作医疗总额定额付费方式改革与探索[J].中国卫生经济,2016,35(1):45-47.
[20]陈治水,冷家骅,高广颖,等.五类肿瘤疾病住院费用及其影响因素分析[J].中国卫生经济,2014,33(7):57-60.
[21]范玉铮,吕炜,王勇,等.广西省级综合医院住院费用现状及影响因素分析[J].中国卫生统计,2014,31(1):61-63.