2016年-2020年重庆市某三甲医院康复科病房住院患者构成及费用分析  

Analysis on the Composition and Cost of Inpatients in the Rehabilitation Ward of a Three A and Tertiary Hospital in Chongqing from 2016 to 2020

作　　者：刘峰海 何永宏[1] Liu Fenghai;He Yonghong(Medical Record Department of the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;不详)

机构地区：[1]重庆医科大学附属第一医院病案科,重庆市400016

出　　处：《中国病案》2021年第10期69-73,共5页Chinese Medical Record

摘　　要：目的探讨某三甲医院康复科住院患者的病种结构及费用情况,为康复科的管理提供科学依据。方法收集某三甲医院康复科病房2016年1月1日-2020年12月31日间1515份住院患者的病案首页数据,采用描述性研究方法,根据出院年份、入院科室对出院主要诊断进行ICD-10分类和统计,同时对平均住院日和费用情况进行分析。结果2016年-2020年某院康复科病房收治40岁~65岁患者数占收治总数的83.30%。康复科入院患者占55.97%,骨科入院的患者构成比逐年上升,由22.36%上升至29.67%,神经外科入院的患者构成比逐年下降,由7.54%下降至1.67%。住院患者主要集中在肌肉骨骼系统和结缔组织疾病、损伤、中毒和外因的某些其他后果、循环系统疾病和神经系统疾病中,2016年-2020年神经系统疾病构成比逐年上升,由4.77%上升至21.00%;2018年-2020年循环系统疾病构成比逐年上升,由15.77%上升至28.67%。按入院科室统计,康复科入院的患者中大脑性瘫痪和其他麻痹[瘫痪]综合征构成比呈上升趋势,由3.14%上升至32.34%;背部病构成比呈下降趋势,由39.91%下降至10.78%;神经内科入院的主要由脑血管病、神经、神经根和神经丛疾患和背部病构成,合计构成比为85.48%,由神经外科入院的主要由脑血管病、头部损伤和良性肿瘤构成,合计构成比为84.42%。由康复科入院的患者人均费用最低,由重症医学科转入患者人均费用最高,其中骨科入院患者的人均费用逐年降低,康复患者的药占比随年份变化呈下降趋势,不同入院科室的人均费用比较,差异具有统计学意义。康复科入院的患者平均住院日最短,不同入院科室的平均住院日比较,差异具有统计学意义。结论某院康复科应注重病种结构和费用的变化,加强与重点科室的沟通和重点病种的管理,合理配置医疗资源,提高运行效率。Objective To explore the disease structure and cost of inpatients in the rehabilitation department of a three A and tertiary hospital,and to provide scientific basis for the management of rehabilitation department.Methods The data of 1515 inpatients’medical records from January 1,2016 to December 31,2020 in the rehabilitation ward of a three A hospital were collected.Descriptive research method was used to classify and count the main discharge diagnosis(ICD-10)according to the year of discharge and the Department of admission.Meanwhile,the average length of stay and expenses were analyzed.Results From 2016 to 2020,the number of patients aged 40-65 in the rehabilitation ward of our hospital accounted for 83.30% of the total number of patients;The proportion of hospitalized patients in rehabilitation department accounted for 55.97%.The constituent ratio of patients admitted to orthopaedics department increased year by year,from 22.36% to 29.67%.The constituent ratio of patients admitted to neurosurgery decreased year by year,from 7.54% to 1.67% in 2020.The hospitalized patients mainly concentrated in musculoskeletal system and connective tissue diseases,injury,poisoning and some other consequences of external causes,circulatory system diseases and nervous system diseases,theconstituent ratio of circulatory system diseases and nervous system diseases has increased year by year,from 4.77% in 2016 to 21.00% in 2020;From 2018 to 2020,the constituent ratio of circulatory diseases increased year by year,from 15.77% to 28.67%.The constituent ratio of cerebral palsy and other paralysis[paralysis]syndrome was on the rise,from 3.14% in 2016 to 32.34% in 2020,while the constituent ratio of back disease was on the decline,from 39.91% in 2016 to 10.78% in 2020;The admission diseases of orthopedics are scattered;the admission of neurology is mainly composed of cerebrovascular diseases,nerve,nerve root and nerve plexus diseases and back diseases,with a total constituent ratio of 85.48%,and those admitted by neurosurgery are mai

关 键 词：康复医学 病种结构 住院费用 药占比 

分 类 号：R197.32[医药卫生—卫生事业管理]