摘要
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.
作者
刘丽
肖月
张敏
吴浩
姚银蓥
罗艳荣
Liu Li(Center for Medical Humanity Research,Chongqing Medical University,Chongqing,400016)
出处
《医学与社会》
北大核心
2018年第11期31-33,49,共4页
Medicine and Society
基金
国家社科基金一般项目
编号为17BGL189
四川省科技厅软科学项目
编号为2018ZR0080