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  

Retrospective study on the epidemic characteristics of infectious diseases and its hospitalization expenses in a hospital from 2006 to 2015

作　　者：刘红杨 王凡[1] 肖金环 贾园春 刘洪庆[1] 

机构地区：[1]潍坊医学院公共卫生与管理学院卫生统计学教研室

出　　处：《中国医院统计》2016年第4期250-253,共4页Chinese Journal of Hospital Statistics

基　　金：“健康山东”重大社会风险预测与治理协同创新中心资助课题(XT-1402001)

摘　　要：目的分析潍坊市2006--2015年某三甲医院传染病流行特征和流行趋势及其住院费用，为制定有效的防控策略提供理论依据。方法根据ICD-10对10年间因传染病住院的患者以第一诊断作为纳入传染病的标准，并对其患者人群特征和住院费用进行描述性分析。结果2006--2015年该院共收治传染病患者7327例。在此期间，发病人数总体呈上升趋势（x2=12．58，P〈0．001），年平均增长速度为11．63％。肠道传染病（95．34％）、呼吸道传染病（35．51％）和自然疫源性及虫媒传染病（33．37％）均在〈20岁组多发；血缘及性传播疾病在40—59岁组最高，其次是20～39岁组，两者共计高达68．66％。传染病按不同传播途径其发病男性多于女性（性别比1．55：1）；发病患者职业人群以幼托儿童和学生（占67．20％）为主；人均住院费用为5120．41元，2006--2015年累计上涨幅度为136．54％；不同医疗费支付形式中，患者享有医疗保险者达到57．06％，自费患者占42．94％。医疗保险患者其支付的住院费用相对高于自费患者，并且医疗保险患者的人均费用逐年上涨。结论医疗保险患者存在住院费用过度医疗的现象，抑制住院费用的过快增长仍然是该院长期的重要工作之一。Objective To analyze the epidemiological characteristics and the trends of infectious diseases and its hospi- talization expenses in a tertiary hospital in Weifang City, and to provide the theoretical basis for the effective prevention and con- trol 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. Dur- ing this period, diseased population showed a rise tendency as a whole （X2 = 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 naiural focal and in- sect-borne infectious diseases （33.37%） occurred frequently in 〈20 years 01d 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, cu- mulative price rise was 136.54% from 2006 to 2015. In different forms of payment for medical expenses, patients with health in- surance accounted for 57.06%, and self-paid patients accounted for 42.94%. Hospital expenses of medicare patients were rela- tively higher than those of self-paid patients, and the expenses of medicare patients per capita were increasing year by year. Concltmion Excessive medical treatment existed among medicare patients and restraining the excessive growth of the hospitaliza- tion expenses was still one of the important point of the hospital for a long time.

关 键 词：传染病 住院费用 回顾性分析 

分 类 号：R197.322[医药卫生—卫生事业管理]