成都市各级医疗机构主要就诊病种的对应分析

Corresponding Analysis of Main Diseases of Medical Institutions at All Levels in Chengdu City

目的:了解成都市各级医疗机构主要就诊情况及当前成都地区的诊疗现状。方法:依据ICD-10国际疾病分类标准,随机选取成都市2家市级医院和6个区的区级、基层医疗机构的门诊病案进行描述性分析和对应分析。结果:2016年成都市不同级别医疗机构主要就诊病种中,市级医院占比最高的病种是高血压,为28.9%,区级医院、社区卫生服务中心及乡镇卫生院占比最高的病种是上呼吸道感染,分别为12.6%、18%、20.8%。对应分析显示就诊病种和就诊机构之间的联系紧密,即心血管系统疾病与市级医院联系紧密,消化系统疾病与区级医院联系紧密,内分泌代谢性系统疾病与社区卫生服务中心联系紧密,呼吸系统疾病与乡镇卫生院联系紧密。结论:建议根据当地就诊病种现状,明确各级医疗机构功能定位,提高基层医疗机构能力。

Objective： To understand the main treatment of medical institutions at all levels and the current status of diagnosis and treatment in Chengdu. Methods： According to the ICD-10 International Classilication of Diseases, the outpatient medical records of two municipal hospitals and six district-level, primary medical institutions in Chengdu were randomly selected to conduct descriptive analyses and corresponding analyses. Results： Among the major types of medical consuhations in dillerent levels of medical institutions in Chengdu in 2016, the highest proportion ol nmnicipal hospitals was hypertension, which was 28.9%. Regional hospitals,commmfity health service centers and township health centers accoun- ted lbr the highest incidence of upper respiratory tract inlections, that respectively were 12.6%, 18% and 20.8%. Corresponding analysis revealed that the connection between the patient type and the visiting institution, the cardiovascular system disease was closely related to the mmficipal hos- pital, the digestive system disease was closely related to the district hospital, the endocrine and metabolic system disease was related to the com- munity health service center, and the respiratory diseases and township health centers were closely linked. Conclusion： According to the local treatment of diseases, we should clear funtional positioning of medical institutions at all levels and improve the capacity of grass-roots medical in-stitutions.