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目的比较出院人数与出院者占用总床日之间顺位以及构成比的特点。方法对四川省2006年出院人数与出院者占用总床日的顺位和构成比进行分析。结果(1)出院人数与出院者占用总床日顺位一致度较高(rs=0.9519,P<0.05),(2)部分病种的出院人数与出院者占用总床日的构成比随顺位的变动不尽相同,如肿瘤出院人数构成比6.62%,顺位居第7位,但其出院者占用总床日的构成比达10.37%,顺位高居第4位,显示肿瘤消耗了较多的医疗卫生资源。(3)从出院者占用总床日的构成比以及顺位来看,因病/伤对医疗卫生资源占用和消耗最多的是损伤、中毒和外因的某些其他后果(居第一位,构成比17.34%)。结论大样本住院疾病分类资料的疾病谱可显示人群因病对住院医疗的需求,而出院者占用总床位的顺位和构成比则表达了不同病种对医疗卫生资源的占用和消耗的不同,疾病谱与占用床位的构成,二者不可替代;同时对这两项指标的顺位和构成比进行分析,可较为全面的描述人群住院就医的需求和不同疾病对医疗卫生资源消耗的特征,有助于合理配置卫生资源。
Objective To compare the characteristics of the ranking and compositional ratio between the number of discharged patients and the total number of beds occupied by dischargers. Methods The ratio of the number of discharged people in Sichuan Province in 2006 and the total number of days occupied by dischargers was analyzed. Results (1) The number of discharges was highly consistent with the number of dischargers occupying the total bed day (rs=0.9519, P<0.05). (2) The composition ratio of the number of discharges of some diseases and the discharge of the total bed days of dischargers was ranked as follows: The changes are not the same, such as the ratio of the number of patients discharged from the tumor to 6.62%, ranked seventh in the rankings, but the proportion of dischargers occupying the total bed days was 10.37%, ranked fourth in the ranking, indicating that the tumor consumed more Health care resources. (3) From the aspect of the composition ratio and the position of the dischargers occupying the total bed day, the most occupation and consumption of medical and health resources due to illness/injury is damage, poisoning, and some other consequences of external causes. Than 17.34%). Conclusion The disease spectrum of the large sample of inpatient disease classification data can show the population’s need for inpatient care due to illness, and the ranking and composition ratio of the total number of beds occupied by dischargers expresses the different occupation and consumption of medical resources in different diseases. The composition of the disease spectrum and occupied beds cannot be replaced. At the same time, the analysis of the ranking and composition ratio of these two indicators can fully describe the needs of people in hospitals for medical treatment and the features of different diseases on the consumption of medical and health resources. Helps to rationalize health resources.