2022年广东省某三级综合医院老年科门诊病种分析  

Analysis of Outpatient Diseases in Geriatric Department of a Tertiary General Hospital in Guangdong Province in 2022

作　　者：李云峰[1] 陈莉雅[1] 周蔚 廖生武[1] LI Yun-feng;CHEN Li-ya;ZHOU Wei;LIAO Sheng-wu(Medical Quality Management Division,Nanfang Hospital of Southern Medical University,Guangzhou 510515,Guangdong,China)

机构地区：[1]南方医科大学南方医院医疗质量管理科,广东广州510515

出　　处：《医学信息》2024年第11期42-46,共5页Journal of Medical Information

基　　金：广东省省级科技计划项目(编号:2020A1414040021);广州市科技计划项目(编号:202103000037)。

摘　　要：目的了解广东省某三级综合医院老年科门诊服务现状,为探索健康老龄化提供数据支持。方法对2022年某三级综合医院老年科门诊数据进行分析,分析不同性别间年龄段分布、费用支付方式、挂号类别、处理措施间的差异,以及病种的分布及在就诊时间点的分布。结果最终纳入老年科门诊患者31888人次,共8366人,其中60岁及以上老年人为4810人,占比57.49%。不同性别的老年科门诊患者年龄段、支付方式、挂号类别、初诊、处理措施占比比较,差异有统计学意义(P<0.05);按照门诊患者第一个诊断的ICD-10进行分类统计,前10位病种中占比排名前2位的病种分别是特发性(原发性)高血压(24.72%)、动脉硬化性心脏病(20.37%),前10位病种中初诊率排名前2位的病种为头晕和眩晕(25.08%)、非胰岛素依赖型糖尿病不伴有并发症(8.39%)。在就诊时间上,前10位病种就诊分布略有差异,但多数集中在上午8∶00~11∶00和下午15∶00~17∶00,个别病种如疾病头晕和眩晕就诊时间主要在上午时间段,下午较少。结论老年科门诊复诊患者较多,特发性(原发性)高血压和动脉硬化性心脏病占比较高,对学科发展不利,科室需要进一步优化资源配置,提升综合疾病救治的能力,从而更好的服务老年患者,满足老年人的健康需求。Objective To understand the current situation of geriatric outpatient services in a tertiary general hospital in Guangdong Province,and to provide data support for exploring healthy aging.Methods The outpatient data of geriatrics department in a tertiary general hospital in 2022 were analyzed.The differences in age distribution,cost payment methods,registration categories,treatment measures between different genders were analyzes,as well as the distribution of diseases and the distribution at the time of treatment.Results A total of 31888 outpatients were included in the geriatric department,with a total of 8366 people.Among the 8366 people,4810 were aged 60 and above,accounting for 57.49%.There were statistically significant differences in the proportion of age,payment method,registration category,initial diagnosis and treatment measures among geriatric outpatients of different genders(P<0.05).According to the ICD-10 of the first diagnosis of outpatients,the top two diseases in the top 10 diseases were idiopathic(primary)hypertension(24.72%)and atherosclerotic heart disease(20.37%).The top two diseases with higher first visit rate in the top 10 diseases were dizziness and vertigo(25.08%)and non-insulin-dependent diabetes mellitus without complications(8.39%).In terms of treatment time,the distribution of the top 10 diseases was slightly different,but most of them were concentrated at 8∶00-11∶00 in the morning and 15∶00-17∶00 in the afternoon.The treatment time of individual diseases such as dizziness and vertigo was mainly in the morning time period,and less in the afternoon.Conclusion There are more patients in the outpatient department of geriatrics,and the proportion of idiopathic(primary)hypertension and atherosclerotic heart disease is relatively high,which is not conducive to the development of the discipline.The department needs to further optimize the allocation of resources and improve the ability of comprehensive disease treatment,so as to better serve the elderly patients and meet the health n

关 键 词：门诊病种 老年患者 高血压 心脏病 

分 类 号：R592[医药卫生—老年医学]