2013—2016年南京某三甲医院住院患者疾病构成分析

Analysis of disease constitution of inpatients in a tertiary hospital in Nanjing from 2013 to 2016

目的:分析南京市某三级甲等医院2013—2016年住院患者疾病构成前十位病种顺位、性别、年龄、平均住院日变化的内在影响因素,推测未来的变化趋势。方法:以ICD-10为依据对疾病进行分类,利用Excel建立数据库进行统计分析。结果:冠心病、2型糖尿病、肿瘤化学治疗等六种疾病顺位稳居前十,白内障疾病逐年增多,十种疾病住院患者平均住院日呈减少趋势。结论:医院要以患者为中心,巩固发展重点学科,开展多学科诊疗模式,积极参与分级诊疗,开展健康教育活动,同时顺应医改,改变医保付费方式,完善内部绩效方案。

Objective： Based on the statistics of patients’ top ten disease composition priority, gender, age and the average length of stay from 2013 to 2016 in a tertiary hospital in Nanjing, we analyzed the intrinsic factor and the future trend and changes. Methods： ICD-10 was used as the basis to classify the diseases. Excel was performed to establish the database and statistical analysis. Results： Six kinds of diseases, including coronary heart disease, type 2 diabetes, chemotherapy, and etc., were in the top ten. Cataract disease increased year by year. The average length of stay showed a decreasing trend. Conclusion： The hospital must take the patient as the center, consolidate the development of key disciplines, carry out multidisciplinary treatment model, actively participate in the tiered medical services and carry out health education activities, and conform to medical reform, change the medical insurance payment method and improve the internal performance plan.