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目的探讨某院主要诊断疾病构成的影响和患者来源,为医院质量与安全管理及发展提供数据支持。方法对某院2012年-2014年期间全院住院患者病案首页信息的主要诊断进行回顾性分析。结果2012年-2014年期间住院患者82 845人次,其中前3位疾病为循环系统疾病、呼吸系统疾病及神经系统疾病,2014年首次有外科疾病腰椎间盘突出症进入前3位疾病排例;尤其是本州内患者明显增加,由2012年7927人次上升到2014年8836人次,所占比例由2012年28.9%上升到30.21%。结论前3位疾病分布与国家卫生服务调查居民主要疾病患病情况一致,是常见病和多发病,腰椎间盘突出症疾病患者上升,提示医院应该加大骨科慢性疾病诊疗的力度。外地患者来院就诊人数增加,尤其是本州内患者明显增加,提示某院经过提高医疗质量与就医环境改变,吸引了更多的患者前来就医。?
Objective To explore the impact of major diseases diagnosed in a hospital and the source of patients, and to provide data support for the management and development of hospital quality and safety. Methods A retrospective analysis was performed on the main information of the first page of the inpatient medical record in a hospital from 2012 to 2014. Results There were 82,845 inpatients between 2012 and 2014, of which the first three were circulatory, respiratory and neurological diseases. For the first time in 2014, there were surgical diseases of lumbar disc herniation into the first three disease cases; in particular The number of patients in this state increased significantly from 7927 in 2012 to 8836 in 2014, up from 28.9% in 2012 to 30.21%. Conclusion The distribution of the first three diseases is consistent with the prevalence of major diseases of residents in the national health service survey. It is common and frequently-occurring disease. Patients with lumbar disc herniation disease rise, suggesting that the hospital should intensify the diagnosis and treatment of chronic diseases of orthopedics. The number of patients visiting the hospital increased, especially in the state significantly increased, suggesting that a hospital by improving the quality of care and medical environment changes, attracting more patients to seek medical treatment. ?