某三级医院内科住院患者疾病组分析  

Analysis of disease groups of internal medicine inpatients in a tertiary hospital

作　　者：林慧怡 王骏 郭莉 萧志宏 周飞娟 陈华 LIN Huiyi;WANG Jun;GUO Li;XIAO Zhihong;ZHOU Feijuan;CHEN Hua(Zhongshan Torch Development Zone People’s Hospital,Zhongshan 528436,China)

机构地区：[1]中山火炬开发区人民医院,广东中山528436

出　　处：《现代医院》2024年第5期715-718,共4页Modern Hospitals

摘　　要：目的分析中山市某三级医院内科系统住院患者特点及疾病组变化规律,探索医院疾病顺位、收治特征的变化趋势,为提高医院管理水平提供科学依据。方法采用回顾性分析方法,对中山市某三级医院内科系统2018年1月1日—2022年12月31日26053例出院患者的年龄、住院时间、例均权重、疾病组进行分析。结果近5年,内科系统出院患者数量无明显的增长趋势。出院患者的年龄、例均权重、CMI存在增长趋势。结论疫情后,某院内科住院患者疑难程度逐年提高,疾病大类构成稳定。循环系统、呼吸系统、神经系统疾病相关学科CMI值较高,此类学科作为内科系统中难度较高的板块,应该重点提升诊治水平和服务质量,为人民群众提供更优质的诊疗服务。Objective This paper analyzed the characteristics and changes in the disease spectrum of internal medicine inpatients of a tertiary hospital in Zhongshan City.It aimed to explore the evolving trends in disease ranking and treatment characteristics to provide a scientific basis for enhancing hospital management.Methods This paper selected 26053 patients discharged from the internal medicine department of the tertiary hospital in Zhongshan City between January 1,2018,and December 31,2022.A retrospective analysis was used to classify these patients by ages,hospitalization date,and relative weight.Results In the past five years,those discharged patients showed no significant increase in the number,but a significant increase in age and ase Mix Index(CMI).Conclusion Since the outbreak of COVID-19,intractable inpatients in the hospital has steadily increased in number each year,while the diseases spectrum remains stable.The CMI of circulatory system,respiratory system,and nervous system diseases is relatively high.As key tricky components of internal medicine,these sub-specialties should concentrate on enhancing diagnostic and treatment capabilities as well as service quality to offer improved healthcare services to the public.

关 键 词：内科疾病 疾病分类 DRGS 病种结构 住院病例 

分 类 号：R197.323[医药卫生—卫生事业管理] R366[医药卫生—公共卫生与预防医学]