医院门诊患者病种调查分析

Investigation and analysis of the kinds of diseases afflicting outpatients

目的 了解医院门诊患者病种分布及门诊量分布,以加强门诊质量的科学化管理。方法采用整群抽样调查法,对200年4月某一周内5个工作日的门诊患者进行调查。结果 门诊量在前5位的科室依次是骨科、皮肤科、内分泌科、耳鼻喉科及消化科,疾病顺位前5位依次是上呼吸道感染、糖尿病、高血压、胃炎及妊娠。初诊病人占54.6％,复诊病人占45.4％。结论 医院应加强学科建设,参考疾病谱以确定学科建设和发展方向,积极应对各种挑战,提高医疗服务质量。

Objective To find out about the distribution both of the kinds of diseases afflicting outpatients and of the volume of outpatient service in the hospital so as to control the quality of outpatient sen'ice in a scientific way. Methods Using the method of whole group sampling survey, an investigation was made into all the outpatients to the hospital during the five working days of a certain week in April, 2002. Results The departments ranking in the first five places with regard to the volume of outpatient service were respectively the Departments of Orthopedics, Dermatology, Endocrinology, Otorhinolaryngology and Gastrointestinal Diseases. The kinds of diseases ranking in the first five places were respectively upper respiratory tract infection, diabetes, hypertension, gastritis and pregnancy. First-visit patients accounted for 54.6% while return-visit patients accounted for 45.4% . Conclusion It is imperative for the hospital to enhance its discipline development, define the orientation of its discipline development in line with the disease spectrum, take active steps to meet various challenges and improve the o, uality of its medical service.