某三甲医院10年住院病人疾病构成分析  

Analysis of Spectrum of Disease Composition of Inpatients in a Grade A Tertiary Hospital for 10 years

作　　者：黄豆豆 邹慕蓉 赵雨辰 王文秀 吴植茆 耿立国 李曲 宁晓路 赵军 朱爱霞[1] 吴良明[1] Huang Doudou;Zou Murong;Zhao Yuchen;Wang Wenxiu;Wu Zhimao;Geng Liguo;Li Qu;Ning Xiaolu;Zhao Jun;Zhu Aixia;Wu Liangming(Department of the Medical Records and Statistics Room,the Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China;Graduate School,Nanjing Medical University,Nanjing 211166,China;Department of the Medical Records,Kowloon Hospital Affiliated to Shanghai Jiao Tong University School of Medi?cine,Suzhou 215021,China;Party Committee Office,Xuzhou Medical University,Xuzhou 221004,China;Computer Center,the Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院病案统计室,江苏南京210008 [2]南京医科大学研究生院,江苏南京211166 [3]上海交通大学医学院附属苏州九龙医院病案室,江苏苏州215021 [4]徐州医科大学党委办公室,江苏徐州221004 [5]南京大学医学院附属鼓楼医院计算机中心,江苏南京210008

出　　处：《江苏卫生事业管理》2019年第12期1501-1505,1510,共6页Jiangsu Health System Management

摘　　要：目的:分析出院患者疾病谱构成及变化,为合理配置医疗卫生资源和相关管理决策提供科学依据。方法:调取2006-2015年某院所有出院患者相关信息及主要诊断编码,并进行统计分析。结果:总出院病人方面,循环系统疾病和肿瘤成为最主要两类疾病。影响健康状态和与保健机构接触的因素变化幅度最大,从2006年的第6顺位,逐渐增长至2015年的第1顺位。随着年龄增长,肿瘤、循环系统疾病、消化系统疾病和呼吸系统疾病构成占比逐渐增高。结论:建立住院病人疾病谱,可以合理配置医院各种有限的卫生资源,提高医疗服务的质量和水平。Objective:To provide the scientific evidence for rational allocation of medical and health resources and related manage?ment decisions by analyzing the and changes of disease composition in the discharged patients.Methods:The data and primary diagno?sis codes of all discharged patients from 2006 to 2015 were analyzed.Results:The diseases of the circulatory system and tumors were the main diseases.The factors influencing health status and contact with health services changed most significantly,from the 6th over?all position in 2006 to the 1st overall position in 2015.The proportion of neoplasm,diseases of the circulatory system,diseases of respi?ratory system and the diseases of digestive system increased gradually with the increase of age.Conclusion:Establishing an inpatient disease spectrum is helpful to reasonably allocate the limited health resources and to strengthen the medical services quality.

关 键 词：疾病谱 住院病人 病案 构成 

分 类 号：R197.3[医药卫生—卫生事业管理]