克拉玛依市中心医院2014年住院患者呼吸系统疾病构成和费用分析

Constituation and costs of inpatients with respiratory disease in Karamay Central Hospital in 2014:a cross-sectional study

目的调查2014年克拉玛依市中心医院呼吸系统住院患者疾病构成和费用情况,为开展呼吸系统单病种的循证药学研究提供基线数据。方法提取克拉玛依市中心医院信息管理系统2014年呼吸系统单病种的用药和费用构成等数据,用Microsoft Excel 2007统计软件整理分析数据。统计指标包括频数、占比和累计占比。结果 (1)2014年克拉玛依市中心医院呼吸系统住院患者共3 306人次,排名前3的呼吸系统疾病分别是支气管肺炎、肺炎和肺部感染;(2)患者民族比>人口民族比,前3位依次是支气管哮喘(非危重)占40.21%、支气管肺炎占38.14%、慢性阻塞性肺病伴急性加重占36.27%;(3)人均住院日、人均住院费、人均西药费、人均中成药费、人均诊疗费、人均检查费排名前3位依次是肺部感染、慢性阻塞性肺病和支气管哮喘(非危重)。结论基于调查结果,将支气管肺炎、肺部感染、支气管哮喘和慢性阻塞性肺病列为本次呼吸系统循证药学的目标单病种。

Objective To investigate constitution and costs ofinpatients with respiratory disease in the Karamay Central Hospital in 2014 and provide baseline data for further evidence-based study. Methods The information of drug use and expenditure of respiratory diseases were collected from the Hospital Information System （HIS）. We analyzed the data by Microsoft Excel 2007 software, including the frequency, proportion and cumulative proportion. Results A total of 3 306 inpatients with respiratory disease were included, the top three diseases were bronchopneumonia, pneumonia and pulmonary infection, respectively. The Han-other people ratio in inpatients with respiratory diseases higher than average ratio in this city, the top three were bronchial asthma （non-severe） （40.21%）, bronchopneumonia （38.14%） and acute exacerbation of chronic obstructive pulmonary disease （COPD） （36.27%）, respectively. The top three hospital stay and costs per capita were pulmonary infection, COPD and bronchial asthma （non-severe）, respectively. Conclusion Bronchopneumonia, pulmonary infection, bronchial asthma and COPD are selected as the priority for evidence-based study.