| 吴丽容.基于患者数据分析的烧伤整形学科发展策略研究[J].中国烧伤创疡杂志,2020,(5):335~339. |
| DOI： |
| 中文关键词: 病种 烧伤整形专科 统计分析 学科建设 |
| 英文关键词:Disease type Burns and plastic department Statistical Analysis Discipline Construction |
| 基金项目: |
|
| 摘要点击次数: 1740 |
| 全文下载次数: 4173 |
| 中文摘要: |
| 目的 分析德阳市人民医院烧伤整形美容科住院患者的构成特点，为定位学科发展方向提供依据。方法 以德阳市人民医院信息管理系统（hospital information system，HIS）中2016年1月至2018年12月烧伤整形美容科出院患者病案作为统计依据，按照区、县二类划分方法对病案登记的常住地址进行筛查统计分析。以出院第一诊断为依据，按照国际疾病分类标准（international classification of diseases，ICD）-10对患者的患病情况进行疾病分类统计分析。结果 统计期内出院患者主要以旌阳区及中江县为主，且在统计期内旌阳区、中江县、广汉市、罗江县、什邡市患者人数均呈逐年上升趋势，而绵竹市患者人数略有下降；旌阳区、什邡市患者人均医疗费用呈逐年降低趋势，中江县、绵竹市及罗江县患者人均医疗费用走势无明显特点，广汉市患者人均医疗费用呈逐年升高趋势，其他地区患者人均医疗费用统计结果显示2018年较前两年有所下降；烧烫伤、溃疡、肿物及瘢痕患者总数分别占各年度患者总数的99.00%、99.10%及99.00%，且2018年烧烫伤类患者较前两年有所下降，肿物及瘢痕类患者较前两年明显上升，而溃疡类患者呈逐年下降的趋势；2018年烧烫伤、溃疡、肿物及瘢痕患者住院时间整体呈减少趋势。结论 根据患者来源区域特点拓宽科室服务范围，利用费用优势，寻找优势病种，巩固特色专科，加大品牌宣传力度，是德阳市人民医院烧伤整形美容科持续发展的根本保障。 |
| 英文摘要: |
| Objective: To analyze the composition characteristics of inpatients in the Burns and Plastic Surgery Department of People’s Hospital of Deyang City to provide a basis for positioning the development direction of the discipline of burns and plastic surgery. Methods: The medical data of patients discharged from the Burns and Plastic Surgery Department of People’s Hospital of Deyang City between January 2016 and December 2018 were taken out from the hospital information system for statistical analysis. The resident addresses of patients registered in the medical record were screened for analysis based on their different counties or districts. Based on the first diagnosis of discharge, the disease condition of patients was classified based on the international classification of diseases-10. Results: During the statistical period, the majority of discharged patients were from Jingyang district and Zhongjiang County, and the number of patients from Jingyang district, Zhongjiang County, Guanghan City, Luojiang County and Shifang City presented a trend of increase year by year, while the number of patients from Mianzhu City decreased slightly. The per capita medical expenses of patients from Jingyang district and Shifang City showed a trend of decrease year by year, the per capita medical expenses of patients from Zhongjiang County, Mianzhu City and Luojiang County showed no obvious differences during the statistical period, the per capital medical expenses of patients from Guanghan City presented a year-by-year upward trend, while the per capital medical expenses of patients from other regions showed a decrease in 2018 compared with the previous two years. The numbers of patients with burns and scalds, ulcers, tumors and scars accounted for 99.00%, 99.10% and 99.00% of the total number of patients respectively in the year of 2016, 2017 and 2018. In the year of 2018 the number of patients with burns and scalds decreased compared with the previous two years, with a marked increase in the number of patients with tumors and scars, while the number of patients with ulcers decreased year by year. In 2018, the hospitalization duration of patients with burns and scalds, ulcers, tumors and scars decreased overall. Conclusion: It is the fundamental guarantee for the sustainable development of the Burns and Plastic Surgery Department of People’s Hospital of Deyang City to broaden the scope of department services according to the geographical characteristics of patients, practice the cost-effective treatment and enhance the brand promotion by developing and consolidating specialized treatments. |
|
|
|
|
