西北地区三甲医院2015～2017年疼痛科住院病人疾病谱特征数据分析  

ANALYSIS OF BIG DATA ON SPECTRUM CHARACTERISTICS OF HOSPITALIZED PATIENTS IN THE PAIN DEPARTMENT FROM 2015 TO 2017 IN GRADE Ⅲ A HOSPITALS IN NORTHWEST CHINA

作　　者：段宝霖[1] 马涛 李建勋 毛元蓉 黎环[1] 杜昱蕾 滕春霞 张润彤[3] DUAN Bao-Lin;MA-Tao;LI Jian-Xun;MAO Yuan-Rong;LI-Huan;DU Yu-Lei;TENG Chun-Xia;ZHANG Run-Tong(Pain Department,Qinghai Provincial People's Hospital,Xining 810007,China;Zhong Wei Yun Institute of Medical Data Analytics&Application Technology,Beijing 100055,China;School of Economics and Management Beijing Jiaotong University,Beijing 100044,China)

机构地区：[1]青海省人民医院疼痛科,西宁810007 [2]中卫云医疗数据分析与应用技术研究院,北京100055 [3]北京交通大学经济管理学院,北京100044

出　　处：《中国疼痛医学杂志》2018年第12期905-911,共7页Chinese Journal of Pain Medicine

基　　金：国家自然基金重点项目(71532002)

摘　　要：目的:用大数据技术探讨西北地区7家三甲医院疼痛科住院病人的疾病谱分布特征,初步评价西北地区三级医院尤其是青海省疼痛科诊疗服务能力。方法:通过检索中卫云医疗大数据平台上的西北五省区三甲综合医院数据,筛选出其中7家规模相当的三甲医院疼痛科2015～2017年出院病人病案首页数据进行分析。结果:(1) 7家医院疼痛科住院病人总数8 485人次,占总住院病人的0.82%;青海省占比明显高于其他省区;(2)疼痛科病人入院途径以门诊为主;年龄集中分布于40～80岁,以女性居多。(3)疼痛科出院病人病种覆盖数量,青海省为90种,其他省区为78种;两地区疑难重症诊治覆盖率均为47.06%;收治病种以腰椎间盘突出居首位。(4)青海省平均住院日、平均住院费用高于其他省区,而药占比、耗材比、病死率均较低。(5) 3年间7家医院疼痛科共进行1403例与疼痛诊疗有关的手术操作,青海省手术操作量明显高于其他省区;关键医疗技术的基本标准覆盖率达到80%,推荐标准覆盖率为28.57%。结论:西北地区7家三甲医院疼痛科住院病人病种覆盖率、关键医疗技术基本标准覆盖率均较高,但疑难病种及关键医疗技术推荐标准覆盖率较低。青海省3家医院疼痛科的上述指标略好于其他省区的4家医院。本研究结果可为西北地区疼痛科内涵建设提供参考。Objective:To explore the distribution characteristics of disease spectrum of hospitalized patients in the pain department of 7 GradeⅢA hospitals in northwestern China by big data analysis and to preliminarily evaluate the capabilities of pain diagnosis and treatment at level 3 hospitals in Northwest region,especially in Qinghai province.Methods:By retrieving the data of GradeⅢA general hospitals of five northwestern provinces in Zhong Wei Yun medical big data platform,the first page data of discharged patients medical records in the pain department of 7 GradeⅢA hospitals of the same size from 2015 to 2017 were selected for analysis.Results:①The total number of hospitalized patients in the pain department of 7 hospitals was 8,485,accounting for 0.82%of the total number of hospitalized patients;Qinghai province had a significantly higher proportion than other provinces.②The way of admission was mainly outpatient service and the ages of hospitalized patients in pain department were between 40 and 80 years old.And most of them are female.③The numbers of disease coverage of patients discharged from the pain department was 90 in Qinghai province and 78 in other provinces;the coverage rates of severe and difficult diagnosis and treatment in both areas were 47.06%.Lumbar intervertebral disc herniation was the most disease to be admitted.④The average hospitalization days and average hospitalization expenses in Qinghai province were higher than those in other provinces,while the drug proportion,material consumption ratio and mortality rate were lower.⑤A total of 1,403 cases of operations related to pain diagnosis and treatment were performed in the pain department of 7 hospitals in 3 years and the amount of operation in Qinghai province was significantly higher than that in other provinces;the basic standards coverage rate of key medical technologies reached 80%and the recommended standard coverage rate was 28.57%.Conclusion:In the pain department of 7 GradeⅢA hospitals in northwestern China,the disease c

关 键 词：疼痛科 专科建设 疾病谱 医疗服务能力 数据分析 

分 类 号：R197.323[医药卫生—卫生事业管理]