上海某社区卫生服务中心2010-2014年疾病谱分析

Disease Spectrum Analysis of 2010-2014 in a Community Health Service Center in Shanghai

目的了解近5年上海市徐汇区徐家汇社区卫生服务中心全科门诊疾病谱变化,为有针对性地提升全科服务能力,开展社区全科医疗提供参考。方法对2010—2014年全科门诊数据进行回顾性分析,按国际疾病分类ICD-10统计疾病谱顺位。结果 2010-2014年全科门诊平均门诊量50.36万人次/年,门诊量逐年上升,男女比例稳定。疾病系统顺位前三位为循环系统、呼吸系统和内分泌代谢系统。就诊的主要病种为高血压、糖尿病、冠心病、上呼吸道感染和支气管炎,其中高血压5年均居第一,占前五位主要疾病的19.31%。结论社区卫生服务机构需根据本社区全科门诊疾病谱的特点及其变化,就诊人群特点,开展有针对性的全科医生临床能力培养,及时调整服务功能,提高社区卫生服务质量。

OBJECTIVE To understand the disease spectrum changes in the whole family of community health service centers in Xujiahui, Shanghai, for the last five years, and to provide references for the development of community health services. METHODS The data from 2010 to 2014 were analyzed retrospectively, and according to the international classification of diseases, the ICD-10 data were analyzed. RESULTS From 2010 to 2014, the average outpatient service of the whole family was 50.36. The top 3 disease system were the circulatory system, respiratory system and endocrine system. The main diseases were hypertension, diabetes, coronary heart disease, upper respiratory tract infection and bronchitis.The top 1 in five years was hypertension, accounting for 19.31% of the top 5 major diseases. CONCLUSION Community health service organizations needed to develop the clinical ability of the whole family, to and improve the quality of community health service.