摘要
目的分析成都市妇女儿童中心医院妇科2013年住院患者疾病和费用构成现状,了解住院患者的诊治需求,为进一步研究提供依据。方法收集该科2013年5 663例住院患者的病历资料,按WHO国际统一疾病分类法(ICD-10)标化疾病名,以出院记录的第一诊断为疾病分类标准,采用Excel软件进行数据整理和统计分析。结果 1该院妇科2013年住院患者以育龄期女性为主,其疾病谱可分为13类。位列前3位系统疾病依次是:妊娠/分娩和产褥期(50.19%)、泌尿生殖系统(29.31%)和肿瘤(15.54%)。2按ICD-10标准,妊娠/分娩和产褥期疾病前5位单病种依次为异位妊娠、人工流产、稽留流产、先兆流产、妊娠期剧吐;泌尿生殖系统前5位单病种依次为子宫内膜息肉、卵巢子宫内膜异位囊肿、子宫腺肌症、女性继发性不育和子宫粘连;肿瘤前5位单病种依次为子宫平滑肌瘤、卵巢良性肿瘤、卵巢畸胎瘤、宫颈恶性肿瘤、宫颈原位癌。3该科2013年人均住院日为6.31天,人均住院费用为6 051.10元,前3位住院费用构成包括药品费(28.82%)、手术费(26.32%)和检查费(20.09%)。结论 2013年成都市妇女儿童中心医院妇科住院患者多为育龄期女性,异位妊娠、人工流产、子宫平滑肌瘤等为该科常见病。患者平均住院日相对较短,住院费以药品费和手术费为主。基于女性常见病疾病负担,医院急需加大专科建设,挖掘自身优势,针对性地增加或调整人力、物力和财力投入,提高医疗服务质量和效率。
Objective To analyze disease constitution and cost analysis of inpatients in the department of gynaecology of the Chengdu Women＇s and Children＇s Central Hospital in 2013, so as to get known of the patients＇ demands in diagnosis and treatment, and to provide evidence for further studies. Methods We collected information of 5 663 cases through medical records in 2013, standardized disease names according to the WHO international classification of diseases （ICD-10）, and classified the kinds of diseases according to the first diagnosis of discharge records. Then we adopted the Excel software for data sorting and statistical analysis. Results a） Most of the inpatients were women at childbearing age. The diseases pectrum included 13 categories, with the top 3 systematic diseases including diseases during pregnancy/childbirth and puerperium （50.19%）; diseases of the genitourinary system （29.31%）, and neoplasms （15.54%）. b） According to the ICD-10, the top 5 single diseases during pregnancy/childbirth and puerperium were ectopic pregnancy, abortion, missed abortion, threatened abortion, and hyperemesis during pregnancy; the top 5 single diseases of the genitourinary system were endometrial polyps, ovarian endometriosis cyst, uterine adenomyosis, female secondary infertility, and uterus adhesion; the top 5 single diseases of neoplasms were uterine fibroid, ovarian benign turnout, ovarian teratoma, cervical malignant turnout, and cervical carcinoma in situ. c） The average hospital stay in this department in 2013 were 6.31 days, and the average cost per capita were 6 051.10 yuan, with the top 3 kinds of costs including drugs （28.82%）, operation （26.32%）, and examination （20.09%）. Conclusion Most of the inpatients are women at childbearing age in the department of gynaecology of the Chengdu Women＇s and Children＇s Central Hospital in 2013. Ectopic pregnancy, abortion and leiomyoma etc., are commonly-seen in this department. The average hospital stay of the inpatients is relatively s
出处
《中国循证医学杂志》
CSCD
2015年第1期16-22,共7页
Chinese Journal of Evidence-based Medicine
关键词
妇科
疾病构成
费用分析
横断面研究
Gynaecology
Disease constitution
Cost analysis
Cross-sectional study
