| Objectives 1 Study the hospital doctor’s characteristics and demographic, analyze the direction of the hospital doctor’s characteristics and epidemic disease. 2 As hospital or government policies to provide guidance in the running of the population health level. 3 The analysis of a hospital health management model and study its development trend.Methods 1 The object of study: this paper takes the research object for some level of first-class hospital in January 2008 to December 2012 at the end of five years all the doctor checkup at the hospital medical center. 2 Research contents: Research content includes the hospital doctor for medical checks all of the information within five years, including cardiovascular. 3 The statistical method: With modern advanced technology of computer to analyze the doctor check-up data, to check the reference of clinical diagnostic criteria in our country. 4 Sample size calculation using the exact method, the minimum sample size of 402 people, through the analysis of the PASS11.0 comparative analysis using the Bonferroni, analysis of the classification variables using the method of Pearson X squared. Analysis of a medical doctor examination results dynamics using linear mixed models, LSD method used in marginal mean comparison and analysis, comparison and analysis of the control group using hospital doctor health management model has not been established in 2008, P < 0.05 on behalf of statistical significance, use SPSS21.0 statistical analysis.Results 1 Abdominal ultrasound examination results are as follows: in five years five years abdomen every year there are large difference between the distribution of the test results. The highest incidence of thyroid nodule, a total of 175 people, accounted for 19.5%; Secondly for hyperplasia of mammary glands, number 164, 18.3%;Fatty liver, 166 cases, 114 cases of prostate calcify and gallbladder polyps in 72 cases, respectively, from 345, the proportion were 18.5%, 12.7% and 8.0% respectively; Kidney stones, thyroid cysts, renal cyst, liver cyst, gallbladder stones, occupying after five, proportion of 58(6.5%), respectively, 62(6.9%), 48(5.4%), 38(4.2%) and 26(2.9%). 2 Five years gynecological B ultrasonic examination results are as follows: the highest incidence of uterine fibroids, 58 people check out the disease, 14.9% of the check number. Followed by cervical cyst, number of 47, occupying 12.1%; Cervical columnar epithelium ectopic into third place in the incidence of disease, the number 24, 6.2%. 3 Five years the chest X-ray results are as follows: X-ray abnormalities first, 19 people check out the results, 2.1%; 6 respectively(0.7%), 4(0.4%), tuberculosis. 4 Five years and test results are as follows: the number of eye ground. 5 Five years of cardiovascular index test results are as follows: in 2012 the number of abnormal electrocardiogram test for 69, compared with 16/7%, this result is the lowest in five years; The second is 2011, abnormal number is 311,58.8%;Abnormal number 2008, 313 people, 69.2%; Five years age examination proportion 52.9% on average, blood fat check including three: triglyceride, low density lipoprotein cholesterol(LDL-c) and total cholesterol. 6 In five years, LGR- GGTP(gamma glut amyl trans peptidase) test results of P value is equal to 0.115, Log alanine aminotransferase test results(P< 0.001, statistically significant; Log alanine transaminase 2008 test results in marginal a maximum average of 1.39 U/L, 12 years, by contrast, reduce 1.36 U/L. 7 Five years endocrine examination results are as follows: P = 0.004, lg glucose test result so statistically significant, among them 2008 averages 0.69 Pmol/I, a marginal marginal average 10 years above 2008μmo I 0.70 / L. The test results of 2011 P < 0.01, 0.71μmol/L, with statistical significance.Conclusions 1 Five years of internal check doctor check the data obtained were analyzed, and primarily established the hospital doctor health index evaluation system. Analysis from the result of abdominal ultrasound examination, five years of thyroid nodules and check the positive proportion of the total number of hyperplasia of mammary glands were 19.5% and 18.3% respectively, compared with 52.9%. P < 0.05 represents data have statistical significance. LGR- GGTP(gamma glut amyl trans peptidase), five years for inspection data P = 0.115, so it is not statistically significant. 2 Better doctors health management policy, add other checks to ensure the doctor comprehensive physical examination. To check data from a detailed record, provide data support for research. |
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