Analysis Of The Disease Composition In Patients And The Influence Of Health Care In Hospitals Affiliated To The University In Chang Sha

Objectives:To explore patient disease constitutes of three affiliated hospitals and medical service influence by analyzing in-patient and out-patient information, and as well as to realize influence degree resulted from disease. At the same time, to provide scientific evidence for adjusting and configuring the health resources and put forward the effective preventive measures.Methods:Through the self-designed questionnaire, and random sampling method, surveys were carried out in three hospital outpatients. Then using the questionnaire survey results, we calculated some statistical indexes, such as disease species, regional constitution.Using 2006-2010 three hospital in-patient data, comparative analysis was established to analyze hospital patient age, gender and system disease types, and single disease constitutes, and to compare disease constitutes and medical service influence of three different hospitals. Logarithmic transformation was brought to achieve the homogeneity of variance. Apply grey forecasting model to fitting the time series data in three hospitals from 2006 to 2009. Two indicators such as Residual Test and Posterior Test were introduced to assess synthetically the precision of this prediction method. After that, make prediction to the trends in 2010-2015 in advance. All analyses and predictions were performed using SPSS version 17.0 and MATLAB. All of the statistical tests were two sided, and the'significance level'wasα=0.05. Results:(1) The results from outpatient surveys showed that the proportion among women and men were 50.51% and 49.49% respectively, gender ratio was 98.02%. Out-patients in Gynecology were higher, the number of patients in Neurology, Ophthalmology, Dermatology and ENT rank the second, third, fourth and fifth respectively. The ICD-10 system disease outcomes demonstrated that the number of outpatient services related to the genitourinary system disease taken the highest, followed by the musculoskeletal system disease, and connective tissue disease, and digestive system disease, and circulatory diseases and respiratory diseases. And with the prostatitis and high blood pressure as the common diagnose diseases. In addition, prostatitis is one of the most common diseases in three hospital clinic patients.(2) The outpatients choose this hospital mainly in following reasons: medical technology (63.0%), well-known (30.5%), advanced equipment (26.8%), much drugs (12.9%) and distance (12.3%).(3) In-patients data showed that the number of people increased at the rate of 6.77% year by year and among hospitalized patients with men more than women; most male patients aged 45-64 while female patients aged 25-44.(4) By analyzing the changes of the diseases spectrum, it found that the top five system diseases were tumor, circulatory system disease, health status and health institution contact factors, genitourinary system, and the digestive system disease in the first hospital from 2006 to 2010. Its patients ranked A as major medical record classification. The second hospital ranked the tumor as the major disease, followed by circulatory system disease from 2006 to 2010. The medical record classification, A, has been declining year by year in the third hospital. On contrary, the classification of C and D emerging a rising trend. Three hospitals' patients with the coronary artery disease and the non insulin-dependent diabetes as the common diseases.(5) The predictive results demonstrated the number of in-patients in the second hospital would rise steadily, while the number of in-patients in the first hospital and the third hospital would increase rapidly in the next five years.(6) Local outpatient in Hunan account for 24538, taking the proportion of 87.66%, followed by Jiangxi, accounting for 5.22%, Hubei taking 1.25%. Among the Hunan province, outpatients in Changsha accounts for the majority of 25.65%, Yueyang taken the second place, followed by Shaoyang and Hengyang taking 8.55% and 8.28% respectively.The in-patients with 95.63% came from Hunan province in the three hospitals from 2006 to 2010. Jiangxi and Guangdong account for 2.47% and 0.36%, respectively. Among them, the local patients in Changsha accumulated to 319445 person-times, taking 41.86%; followed by Shaoyang and Yueyang with 61594 and 61261 person-times. Conclusion:(1) Out-patients in Gynecology were higher, the number of patients in Neurology, Ophthalmology, Dermatology and ENT rank the second, third, fourth and fifth respectively.(2) The number of outpatients and inpatients related to the genitourinary system disease taken the highest, Prostatitis and high blood pressure were relatively common diseases.(3) Medical technology as the main reason for outpatients choosing these three hospitals.(4) The top five system diseases were tumor, circulatory system disease, health status and health institution contact factors, genitourinary system, and the digestive system disease from 2006 to 2010.(5) The patients came from throughout the country. And most of patients distribute in the Central and Southwestern of China. The patients coming from other provinces except Hunan will increase gradually in the future. (6) With the spectrum of diseases changed, hospital should adjust medical specialty structure timely, setting up reasonable department internal structures, optimizing the allocation of health resources, grasp the hospital center of gravity. Meanwhile hospital managers should care more about the changes in disease composition; orderly enhance prevention and cure working of common disease and frequently-occurring disease, in order to improve the people's health and life quality.