Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (4): 81-86.doi: 10.6040/j.issn.1671-7554.0.2017.1274

Previous Articles    

Comparison of the characteristics of inpatients’ disease distribution in a tertiary hospital in Shandong Province in 2006 and 2016

HE Dongyang, SUN Jiyao, WANG Meng, WANG Jian, HUANG Guo   

  1. School of Health Care Management, National Ministry of Health Economics and Policy Research Lab, Shandong University, Jinan 250012, Shandong, China
  • Published:2022-09-27

Abstract: Objective To compare the characteristics of inpatients’ disease distribution in a tertiary hospital in Shandong Province in 2006 and 2016. Methods The related data were classified according to ICD-10 based on the discharge diagnosis. The changes of disease constitution ratio, number of inpatients, and length of hospital stay were analyzed with descriptive statistics and χ2 test, correlation coefficient, and t-test, respectively. Results The number of inpatients in 2016 was 3.53 times of that in 2006. The changing trends of monthly number of inpatients in 2006 and 2016 were consistent(r=0.930). The male to female ratio decreased from 1.05∶1 in 2006 to 0.92∶1 in 2016. The number of inpatients aged 60 or above increased by 8%. The constitution ratio of the top 10 systemic diseases changed significantly in 2006 and 2016(P<0.001). Diseases of the digestive, genitourinary and nervous systems and puerperal diseases increased in rank, while diseases of the respiratory system decreased in rank. In 2016, lung cancer, thyroid carcinoma and epilepsy accounted for a large proportion and increased sharply. Conclusion The number of inpatients with chronic diseases increased rapidly and the constitution ratio of diseases changed obviously. Health resources should be allocated reasonably based on the new features of disease distribution.

Key words: Tertiary hospital, Inpatients, Disease distribution, Comparative analysis, Shandong Province

CLC Number: 

  • R197.3
[1] 左群, 刘辉. 流行病学疾病分布理论与疾病防治[J]. 医学与哲学(人文社会医学版), 2009, 30(3): 10-12. ZUO Qun, LIU Hui. On disease prevention and disease distribution theory of epidemiology[J]. Medicine and Philosophy, 2009, 30(3): 10-12.
[2] 张艳. 2012~2015年山东省某三级甲等教学医院出院病人疾病谱研究[D]. 济南:山东大学, 2016.
[3] 郭建新, 秦纹, 魏民, 等. 2009年我国住院系统疾病统计及年龄分布[J]. 当代医学, 2012, 18(34): 23-24.
[4] 郭建新, 周国栋, 田萍. 全国2010年住院患者系统疾病统计及年龄分布[J]. 基层医学论坛, 2015, 19(19): 2599-2601. GUO Jianxin, ZHOU Guodong, TIAN Ping. National statistics 2010 hospital patients system diseases and age distribution[J]. Public Medical Forum Magazine, 2015, 19(19): 2599-2601.
[5] Nhung NTT, Schindler C, Dien TM, et al. Acute effects of ambient air pollution on lower respiratory infections in Hanoi children: An eight-year time series study[J]. Environ Int, 2018, 110: 139-148.
[6] Zhang Z, Hong Y, Liu N. Association of ambient particulate matter 2.5 with intensive care unit admission due to pneumonia: a distributed lag non-linear model[J]. Sci Rep, 2017, 7(1): 8679.
[7] Soerjomataram I, Lortet-Tieulent J, Parkin DM, et al. Global burden of cancer in 2008: a systematic analysis of disability-adjusted life-years in 12 world regions[J]. Lancet, 2012, 380(9856): 1840-1850.
[8] Liao Y, Xu L, Lin X, et al. Temporal trend in lung cancer burden attributed to ambient fine particulate matter in Guangzhou, China[J]. Biomed Environ Sci, 2017, 30(10): 708-717.
[9] Lu F, Xu D, Cheng Y, et al. Systematic review and meta-analysis of the adverse health effects of ambient PM2.5 and PM10 pollution in the Chinese population[J]. Environ Res, 2015, 136: 196-204.
[10] World Health Organization. Reducing salt intake in populations: report of a WHO forum and technical meeting[J]. World Health Organization, 2007, 36(1): 109-116.
[11] Zhou B, Webster J, Fu LY, et al. Intake of low sodium salt substitute for 3years attenuates the increase in blood pressure in a rural population of North China-a randomized controlled trial[J]. Int J Cardiol, 2016, 215: 377-382.
[12] 刘春芳. 济南市长清区2012~2016年围生儿出生缺陷监测情况分析[J]. 中国当代医药, 2017, 24(8): 167-169. LIU Chunfang. Analysis of birth defects surveillance in perinatal infant in Changqing district of Jinan city from 2012~2016[J]. Chinese Contemporary Medical Science, 2017, 24(8): 167-169.
[13] 邱文娟, 胡小伟,张正春. 癫痫发病机制及治疗的研究进展[J]. 中华临床医师杂志(电子版), 2014, 8(10): 1920-1924. QIU Wenjuan, HU Xiaowei, ZHANG Zhengchun. Research progress in the pathogenesis and trentment of epilepsy[J]. Chin J Clinicians(Electronic Edition), 2014, 8(10): 1920-1924.
[14] 许虹, 龙发青, 张明之. 成人癫痫患者的生活质量及其影响因素[J]. 山东大学学报(医学版), 2008, 46(11): 1092-1094. XU Hong, LONG Faqing, ZHANG Mingzhi. Influential factors of the quality of life of adults patients with epilepsy[J]. Journal of Shandong University(Health Sciences), 2008, 46(11): 1092-1094.
[15] 谭力铭, 邓紫薇, 仇成凤, 等. 某院2012~2014年155508例住院患者疾病分布规律分析[J]. 中国现代医学杂志, 2016, 26(10): 124-128. TAN Liming, DENG Ziwei, QIU Chengfeng, et al. Disease distribution of 155508 inpatients of a hospital between 2012 and 2014[J]. China Journal of Modern Medicine, 2016, 26(10): 124-128.
[16] 陈娴, 王占明, 李国东, 等. 2015年某三级甲等医院住院患者构成分析[J]. 中国病案, 2016, 17(10): 63-66. CHEN Xian, WANG Zhanming, LI Guodong, et al. Analysis of the form of patients in a three level first-class hospital in 2015[J]. Chinese Medical Record, 2016, 17(10): 63-66.
[17] 国家卫生和计划生育委员会. 2013中国卫生统计年鉴[M]. 北京: 卫生部统计信息中心, 2014.
[18] 山东省人民政府新闻办公室. 山东: 60岁以上老年人口首破2050万老龄化率20.7%[EB/OL].2017[2017-12-25].http://news.iqilu.com/shandong/yuanchuang/2017/0524/3556921.shtml.
[19] 何美, 赵平, 李必波, 等. 2011~2015年重庆某院恶性肿瘤住院患者疾病构成特征分析[J]. 中国肿瘤, 2017, 26(2): 101-105. HE Mei, ZHAO Ping, LI Bibo, et al. Composition of patients with malignant tumors in a cancer hospital of Chongqing from 2011 to 2015[J]. China Cancer, 2017, 26(2): 101-105.
[20] 邓颖, 钱佳慧, 曾晶, 等. 2004-2013年四川省老年人群健康状况及死亡变化趋势分析[J]. 中国慢性病预防与控制, 2016, 24(6): 423-425. DENG Ying, QIAN Jiahui, ZENG Jing, et al. Analysis on change tendency of death and health condition in the elderly of sichuan province, 2004-2013[J]. Chinese Journal of Prevention and Control of Chronic Non-Communicable Diseases, 2016, 24(6): 423-425.
[21] 陈春英,李金梅. 2012-2016年黑龙江省的医院住院人数季节变化分析[J]. 黑龙江医学, 2017, 41(10): 1001.
[22] 陈玲, 程丽君,赵向军. 恶性肿瘤住院量与住院费用的ARIMA乘积季节模型预测研究[J]. 中国卫生统计, 2017, 34(4): 554-557. CHEN Ling, CHENG Lijun, ZHAO Xiangjun. ARIMA product model for predicting number of inpatient and hospitalized expense of malignant tumor[J]. Chinese Journal of Health Statistics, 2017, 34(4): 554-557.
[23] 初慧中. 青岛市1996~2011年卫生事业投入调查分析[D]. 济南:山东大学, 2012.
[24] 卫生部医政司. 医院管理评价指南(2008年版)[M]. 北京,中华人民共和国卫生和计划生育委员会, 2008.
[25] 中华人民共和国卫生和计划生育委员会. 2016年1-11月全国医疗服务情况[EB/OL] , 2017[2017-12-25].http://www.moh.gov.cn/mohwsbwstjxxzx/s7967/201702/79b6d9e3 bf9e40e6a8efa1328b80ada9.shtml.
[1] WANG Meijian, HOU Xinguo, LIANG Kai, CHEN Li. Serum lipids and lipoproteins in middle-aged and elderly Chinese in Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(5): 70-75.
[2] YANG Ding,YANG Peng, LI Yubo, SUN Qiang. Changes in prescriptions for upper respiratory tract infections in Z county of Shandong Province:a panel data analysis of 8 village clinics [J]. Journal of Shandong University (Health Sciences), 2017, 55(12): 88-94.
[3] LI Yan, LIU Kun, SUN Xiaojie. Health inequality related to income and influencing factors of the rural elderly in three counties of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 91-96.
[4] WANG Xing, ZHANG Xiyu, LIN Weiwei, LIAN Ying, ZHANG Qingqing, LI Qilong, LI Shixue. Present situation and existing problems of telemedicine in Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(2): 90-94.
[5] CHEN Si, WANG Muchuan, REN Nannan, XU Wei, WANG Lingling, LUAN Haihui, MA Jun, LIU Yiming. Relationship between polymorphisms of Parkin gene and the risk of Parkinson's disease in Han nationality of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(4): 71-74.
[6] WANG Hao, ZHANG Na, XUE Fuzhong, WANG Ping, KANG Dianmin, LIU Yanxun. Spatial epidemiological characteristics of HIV infections and AIDS patients in Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(2): 81-86.
[7] ZHANG Min, MU Xiaonan, MA Weiyuan, DANG Ningning, ZHANG Nan. Clinical features and prognostic factors of cutaneous malignant melanoma in Shandong Province: report of 61 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(11): 80-84.
[8] LIU Zhenyan, HU Bin, BI Zhenwang, KOU Zengqiang, FANG Ming, CHEN Baoli, REN Yanyan, BI Zhenqiang. Antibiotic resistance on group A streptococcus among children in 4 cities of Shandong Province in 2013 [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(1): 77-80.
[9] ZHANG Yan. Analysis on prescriptions of glococorticoid drugs for inpatients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S2): 108-111.
[10] WANG Chuan1, HOU Xinguo1, LIANG Kai1, YAN Fei1, YANG Junpeng1, WANG Lingshu1, TIAN Meng1, LI Chengqiao2, ZHANG Xiuping3, YANG Weifang4, MA Zeqiang5, CHEN Li1. HDL-C and TG/HDL-C ratio to identify insulin resistance in middle-aged and older Hui ethnic population in Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(5): 73-76.
[11] FAN Xiao-yan1, YANG Chuan-hua2, LU Feng2, ZHANG Zhen-wei3. High-normal blood pressure epidemiological survey and analysis of influencing factors of the county authorities crowd in Shandong [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(11): 93-97.
[12] LIU Ya-nan1, QIN Xue1, LIU Bo2, XI Yan3, LI Shi-xue1. Comparative study on residents′ satisfaction to the basic public health service between urban and rural areas in Shandong province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(10): 105-109.
[13] CHEN Xi1, GUO Xiao-lei2, MA Ji-xiang3, TANG Jun-li2, LU Zi-long2, ZHANG Ji-yu2, ZHANG Gao-hui1, XU Ai-qiang1,2. Analysis of anthropometric cut points for screening diabetes mellitus
among residents aged 1869 in Shandong Province
[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(4): 19-23.
[14] ZHAO Chang-sheng1, YAO Zi-ming2, ZHAO Chang-feng3, ZHU Xi-qian3, CUI Ming1. Diet behaviors of inpatients of different ages [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(11): 161-164.
[15] ZHANG Shui-hong1, WANG Lu2, LI Yu-zhu3, ZHANG Xia1. Analysis of nosocomial infection according to surveillance data of 38195 inpatients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(9): 117-.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!