北京市综合医院感染性疾病住院患者空间吸纳能力与病种结构的关联性研究  

A Study on the Relationship between Spatial Absorption Capacity and Disease Structure of Inpatients with Infectious Diseases in Beijing General Hospitals

作　　者：郝一炜 刘晓宇 陈吟 路凤 贾梦 郭默宁 Hao Yiwei;Liu Xiaoyu;Chen Yin(Beijing Ditan Hospital,Capital Medical University,Beijing,100015,China;不详)

机构地区：[1]首都医科大学附属北京地坛医院,北京100015 [2]首都经济贸易大学统计学院,北京100070 [3]北京市卫生健康大数据与政策研究中心,北京101117 [4]北京市医疗管理数据质量控制和改进中心,北京101117 [5]中国医学科学院医学信息研究所,北京100020

出　　处：《中国卫生经济》2024年第11期1-5,10,共6页Chinese Health Economics

基　　金：北京市医院管理中心“青苗”计划专项(QML20231806);首都医学发展科研基金(2021-1G-3051)。

摘　　要：目的:研究北京市65家二、三级综合医院感染性疾病住院患者收治空间吸纳能力与病种结构的关联性,对感染性疾病住院医疗资源的空间利用现状进行客观分析,为相关政策的制定提供了数据支撑。方法:分别对比城6区和10郊区二、三级综合医院空间吸纳能力指标的差异性,使用象限气泡图对二、三级综合医院空间吸纳能力和病种结构的关联性进行可视化分析。结果:空间吸纳能力方面,城6区二、三级综合医院收治郊区患者占比的差异有统计学意义(P=0.003),10郊区二、三级综合医院收治外区患者占比的差异无统计学意义(P=0.336);城6区二、三级综合医院和10郊区三级医院的空间吸纳能力和病种结构均呈现出明显关联性,10郊区二级综合医院则未呈现出明显关联性。结论:城6区三级综合医院的感染性疾病病种结构指标占优,空间吸纳能力明显更强,二者关联性也更强,其发挥了疑难重症感染性疾病住院服务的功能;4个远郊区仅有区综合医院能够提供感染性疾病住院服务,且收治病例数较大,满足了该区常见多发感染性疾病住院诊疗需求,应结合实际情况加强对10郊区的感染性疾病医疗资源投入和能力建设。Objective:To study the relationship between the absorptive capacity of inpatients with infectious diseases and the structure of diseases in 65 secondary and tertiary general hospitals in Beijing,and to objectively analyze the current situation of space utilization of inpatients with infectious diseases,so as to provide data support for the formulation of relevant policies.Methods:The variability of spatial absorption capacity indicators for secondary and tertiary general hospitals in 6 urban districts and 10 suburbs were compared separately,and the correlation between the spatial absorption capacity of secondary and tertiary general hospitals and the structure of disease types was visualized and analyzed using quadrant bubble charts.Results:In terms of spatial absorption capacity,there was a statistically significant difference in the proportion of patients from suburban districts treated in the secondary and tertiary general hospitals in 6 urban districts of the Beijing(P=0.003),while there was no statistically significant difference in the proportion of patients from other districts treated in the secondary and tertiary general hospitals in 10 suburbs(P=0.336).The spatial absorption capacity and disease structure of the secondary and tertiary hospitals in 6 urban districts and the tertiary hospitals in 10 suburbs showed significant correlation,while the secondary hospitals in 10 suburbs showed no significant correlation.Conclusion:The tertiary general hospitals in 6 urban districts have superior infectious disease type structure indicators,with significantly stronger spatial absorption capacity and stronger correlation between these two,which plays the function of inpatient service of difficult and severe infectious diseases.Only the district hospitals in the outer suburbs can provide inpatient services for infectious diseases,and the number of cases admitted is large,which meets the needs of inpatient diagnosis and treatment of common infectious diseases in the district.It is necessary to strengthen the invest

关 键 词：感染性疾病 空间吸纳能力 病种结构 北京 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R126.1