中国循证医学杂志

中国循证医学杂志

克拉玛依市中心医院 2014 年住院患者疾病构成与费用情况调查

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目的 调查克拉玛依市中心医院 2014 年住院患者疾病构成、费用、用药情况,为开展系列循证药学研究提供基线数据。 方法 提取拉玛依市中心医院信息管理系统 2014 年住院患者疾病种类、单病种的用药和费用等数据,用 WHO ICD-10 标化疾病分类,Microsoft Excel 2007 统计软件整理分析数据,主要采用频数、占比、累计占比和均数描述统计指标。 结果 ① 2014 年克市中心医院住院患者总计 24 936 人次,男女比 0.96︰1,民族比 22.95%,排名前 3 的系统疾病分别是呼吸系统,妊娠、分娩和产褥期及循环系统;② 患者排名前 3 的年龄段依次是 25~59 岁、≥60 岁及 0~4 岁;③ 单病种:人均住院费前 3 位依次是肺部感染、肿瘤化疗和对症治疗;人均西药费前 3 位依次是肿瘤化疗、对症治疗和肺部感染;人均中药费前 3 位依次是慢性肾病、心绞痛和脑梗死。 结论 该院 2014 年住院患者单病种排名和占比与全疆、全国和全球的疾病负担不同。基于该调查结果,将呼吸系统疾病、循环系统疾病列为本次循证药学的系统研究目标。

Objective To investigate inpatients disease constitution, costs and rational drug use in the Karamay Central Hospital in 2014 and provide baseline data for further evidence-based study. Methods The information of disease classification, single disease drug use and expenditure of inpatients in 2014 were collected from the Hospital Information System (HIS) of Karamay Central Hospital. We classified the diseases according to the international classification of diseases coding (ICD-10), and analyzed the data by Microsoft Excel 2007 software including frequency, proportion, cumulative proportion and sample average. Results ① A total of 24 936 inpatients in 2014 were included, with male to female ratio being 0.96 to 1 and minority rate being 22.95%. The top three systematic diseases were respiratory diseases, diseases concerning pregnancy, child birth and puerperium and circulatory system diseases respectively; ② The top three age groups were 25 to 59, ≥60 and 0 to 4 respectively; ③ The top three costs per capita of single disease were pulmonary infectious, tumor chemotherapy and symptomatic treatment respectively; the top three western medicine costs per capita were tumor chemotherapy, symptomatic treatment and pulmonary infection; the top three Chinese medicine costs per capita were chronic kidney disease (CKD), angina and ischemic stroke. Conclusion The single diseases ranking and percentage of inpatients in 2014 of Karamay Central Hospital were different from the disease burden of Xinjiang Uygur Autonomous Region, the country and even the whole world. Based on the above results, the respiratory diseases and circulatory diseases were selected as the systematic evidence-based pharmacy study goal.

关键词: 克拉玛依市中心医院; 住院; 疾病负担; 费用

Key words: Karamay Central Hospital; Inpatients; Disease constitution; Costs

引用本文: 刘永江, 喻佳洁, 张卫东, 李幼平, 吴民, 徐珽, 刘建红, 卢静, 王国团, 孙鑫, 苏冠月. 克拉玛依市中心医院 2014 年住院患者疾病构成与费用情况调查. 中国循证医学杂志, 2017, 17(4): 373-378. doi: 10.7507/1672-2531.201608041 复制

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