摘要
目的对建档立卡贫困户住院患者进行聚类分析,了解建档立卡贫困户住院患者的特点。方法提取大同市某三级医院2019年1月1日-10月31日住院的建档立卡贫困户患者,采用K-Means方法进行聚类分析,使用卡方检验和Kruskal-Wallis秩和检验比较不同类别住院患者相关特征。结果患者被聚为4类:第1类为药物治疗内科患者,第2类为住院检查患者,第3类为使用高值耗材的手术患者,第4类为需要长时间仪器治疗的患者。4类患者的年龄、住院日和住院费用差异均有统计学意义(P<0.05)。结论建档立卡医疗救助政策满足了农村贫困户的就医需求,一定程度上避免了因病返贫、因病致贫问题。但分级诊疗制度落实也存在一定问题。建议多措并举提高基层医疗机构医疗水平,并制定相关政策引导患者理性就医。
Objective Cluster analysis was carried out to understand the characteristics of the inpatients from the poor households with the registered cards.Methods The registered poor patients admitted to a tertiary hospital in Datong from January 1 to October 31,2019 were included for the K-means cluster analysis,and the Chi-square test and Kruskal-Wallis rank sum test were used to compare the relevant characteristics of different categories of inpatients.Results The patients were classified into four categories:medical patients with medication,inpatient for examinations,surgical patients using high-value consumables,and patients requiring prolonged instrumental treatment.There were statistically significant differences in age,length of stay and total cost among the four categories(P<0.05).Conclusion The medical need of poor rural households was met by the medical aid policy,and the problem of returning and causing to poverty due to illness was avoided to a certain extent.However,problems existed in the implementation of hierarchical medical system.It was suggested that multiple measures should be taken to improve the medical level of primary medical institutions,and relevant policies should be formulated to guide patients to seek medical treatment rationally.
作者
朱立强
霍月红
王迎宾
ZHU Liqiang;HUO Yuehong;WANG Yingbin(Air Force Hospital of Central Theater Command of PLA,Datong,Shanxi,037006,China;不详)
出处
《中国卫生质量管理》
2021年第2期97-100,共4页
Chinese Health Quality Management
基金
山西省卫生健康委重点课题(RK25)——大同市对支出型贫困人群健康扶贫的提质扩面和优化对策前瞻性研究。
关键词
贫困人口
住院患者
特征
住院费用
健康扶贫
聚类分析
The Poor
Hospitalized Patients
Characteristic
Hospitalization Expenses
Health Poverty Alleviation
Clustering Analysis
