摘要
目的:分析2009年至2019年我国不同地区、医疗机构和人群住院率变化情况,为国家制定相关决策提供参考。方法:从我国历年卫生统计年鉴数据中获取2009年至2019年我国住院率的相关数据,分析不同地区和不同医疗机构的住院率和每百门急诊入院人数、不同人群住院率及不同病种住院率变化情况。数据采用描述性分析和频数分析。结果:我国住院率持续升高,从2009年的9.95%升至2019年的19.03%。其中,东、中、西部地区住院率分别由9.7%、9.9%、10.8%升至17.0%、19.3%、21.5%,年平均增速分别为5.8%、6.9%和7.1%。公立医院住院量增加了1.2倍,民营医院增加了4.5倍;三级、二级、一级医院及基层医疗机构住院量分别增长292.9%、80.8%、166.4%、4.5%;2009年至2018年,医院每百门急诊入院人数从4.5人增至5.7人,2019年下降至5.6人。城市居民住院率增长幅度小于农村居民;0~4岁和≥55岁居民住院率增速最快。近年来出院疾病以肺炎、急性上呼吸道感染、糖尿病、高血压等常见病、慢性病和多发病为主。结论:医改十年间我国住院率持续上升,整体趋势合理。我国城乡间、区域间、人群间住院率变化存在明显差异。
Objective To analyze the changes of hospitalization rates in different regions,medical institutions and populations in China from 2009 to 2019,so as to provide reference for the country to make relevant decisions.Methods The data of China′s health statistical yearbook from 2009 to 2019 were obtained,and the changes of hospitalization rate and the number of hospitalizations per 100 outpatient and emergency admissions in different regions and medical institutions,and hospitalization rate of different populations and different diseases were analyzed.Descriptive analysis and frequency analysis were used.Results The hospitalization rate in China continued to rise,from 9.95%in 2009 to 19.03%in 2019.Among them,the hospitalization rate in the eastern,central and western regions increased from 9.7%,9.9%and 10.8%to 17.0%,19.3%and 21.5%respectively,with an average annual growth rate of 5.8%,6.9%and 7.1%respectively.The number of inpatients in public hospitals increased by 1.2 times and that in private hospitals increased by 4.5 times.The number of inpatients in tertiary,secondary and primary hospitals and primary medical institutions increased by 292.9%,80.8%,166.4%and 4.5%respectively.From 2009 to 2018,the number of hospitalizations per 100 outpatient and emergency admissions in the hospital increased from 4.5 to 5.7,and decreased to 5.6 in 2019.The increase of hospitalization rate of urban residents was less than that of rural residents.The hospitalization rate of residents aged 0-4 and≥55 years increased the fastest.In recent years,the discharge diseases were mainly common diseases,chronic diseases and frequently occurring diseases,including pneumonia,acute upper respiratory tract infection,diabetes,and hypertension.Conclusions During the ten years of medical reform,the hospitalization rate in China has continued to rise,and the overall trend is reasonable.There are significant differences in the changes of hospitalization rates between urban and rural areas,regions and populations in China.
作者
蔡逸舟
冷楠楠
刘爱忠
肖月
Cai Yizhou;Leng Nannan;Liu Aizhong;Xiao Yue(XiangYa School of Public Health,Central South University,Changsha 410078,China;School of International Pharmaceutical Business,China Pharmaceutical University,Nanjing 211198,China;China National Health Develop Research Center,National Center for Medicine and Health Technology Assessment,Beijing 100191,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2022年第3期184-190,共7页
Chinese Journal of Hospital Administration
关键词
住院
新医改
住院率
分析
Hospitalization
New health care reform
Admission rates
Analyze
