新冠肺炎疫情前后扬州市某三甲医院儿科住院患者收治情况分析

Analysis of Hospitalized Pediatric Patients in a CertainGrade ATertiaryHospital in Yangzhou City before and after COVID-19

目的:分析新冠肺炎疫情前后扬州市某三甲医院儿科住院患者收治量、次均费用、平均住院日及收治病种的变化。方法:统计该院2018年7月-2021年6月儿科住院患者数据,进行回顾性分析,分析疫情前后收治量、收治病种等变化。结果:2020年后,儿科出院患者人次显著低于疫情暴发前,降低13.3%;收治病种中呼吸道感染性疾病收治量占比较2020年前显著降低,降低24.49%;在平均住院日降低10.1%的情况下,次均费用增长6.5%。结论:新冠肺炎疫情后,人们生活方式和个人防护发生很大变化,儿科出院患者人次显著下降,一定程度上减轻了儿科医生工作量。互联网医院业务因其方便快捷、减少交叉感染,迎来空前发展机遇。医保管理部门要发挥好医保政策的经济杠杆作用,完善各项医保政策,以提高应对突发公共卫生事件的能力。

Objective:To analyze the changes in the number of pediatric inpatients admitted,average cost per visit,average length of stay and the types of diseases admitted before and after COVID-19 in a certain grade Atertiaryhospital in Yangzhou.Methods:The data of inpatients with pediatric diseases in the hospital from July 2018 to June 2021 were analyzed retrospectively,and the changes of the number and types of diseases admitted before and after the epidemic were analyzed.Results:After 2020,the number of pediatric discharged patients was significantly lower than before the outbreak of the epidemic in 2020,and decreased by 13.3%.Compared with 2020,the proportion of middle respiratory infectious diseases admitted to hospitals decreased significantly,24.49%.While the average length of stay decreased by 10.1%,the average cost increased by 6.5%.Conclusions:After the COVID-19 outbreak,people’s lifestyle and personal protection have changed greatly,and the number of discharged pediatric patients has decreased significantly,which to some extent liberates the workload of pediatricians.Due to its advantages of convenience and reduction of cross infection,Internet hospital business has ushered in unprecedented development opportunities.The medical insurance administrative department should give full play to the economic leverage of medical insurance policy,perfect various medical insurance policies and improve the ability to deal with public health emergencies.