Study On The Disease Constitution Of Hospitalized Childhood And Influencing Factors Of Their Parents’ Choice Of Hospitals In Chenzhou City Between2008-2010

ObjectiveUnderstanding the current situation of hospitalized children Diseases in ChenzhouCity between2008-2010, in order to explore the factors which influencing sickchildren’s parents to elective hospital treatment for childhood diseases, also, providingreference data for preventive care and corresponding preventive countermeasures.More importantly，it is practical significance that guiding the parents make areasonable choice of hospital.MethodsUsing stratified cluster sampling method to select the sample, in order to collect theage of16hospitalized children discharged from40hospitals’ hospital medical homedata in Chenzhou City,2008-2010. Analyzed the constitute of hospital childhooddiseases by using descriptive statistical, ANOVA analysis and ratio statistical method.Questionnaire survey of2225sick children’s parents in Chenzhou City, Parents tochoose their hospital factors were analyzed using stratified random sampling method，such as the chi-square test, constitute ratio of statistical method.ResultsA total of202,551cases of hospitalized children and medical records, in whichmale children than female;1year of age and below accounted hospitalized childrenfor55.53%; alphaChildren hospitalized peak in March, May, July the fourth quarter,at least; The first hospital children’s diseases is respiratory diseases, accounting for45.6%, the top three diseases are pneumonia, bronchial pneumonia and upperrespiratory tract infection; also, digestive diseases ranked second, accounting for18.48%, mainly to children with diarrhea; third in neonatal disease, accounting for7.05%, the top three in preterm infants, neonatal asphyxia and newborn.Questionnaire survey of2225parents of children in Chenzhou urban areas. Parentsare the parents of the children’s medical treatment choices, multi-select8:00~12:00to the hospital, accounting for43.06%.20-30years old30-40years old40-50years old age stage of choice for parents of children in secondary hospitals, sub-accounts for53.97%,41.47%,36.53%50-60-year-old children over the age of60parents preferreda hospital, accounting for44.90%36.89%50-60-year-old and60-year-old childrenover the parents’ choice of individual clinics, the majority; annual income of less than5000yuan parents to choose a hospital the majority, accounting for36.77percent,families with an annual income of$5000-10000,10000-30000yuan more than theselected two hospitals, sub-accounts for53.34%,47.16%, families with an annualincome over30,000yuanselect three hospitals, accounting for55.81%of familieswith an annual income of less than5000yuan is to select the main body of theindividual clinics; mental multi-select two, three hospitals,43.40%,34.90%, heavymanual, the manual workers more than the election of two hospitals, accounting for53.23%,49.21%, heavy physical and unemployed parents to choose the main body ofthe individual clinics. Parents of children up to the doctor convenience, up to964people, accounting for43.32%, the quality of medical care "and" expenses ",respectively, with757passengers and362passengers, accounting for34.02%and16.27%.Conclusion（1）Hospitalized children in which male children than female; children up to1yearfollowing hospitalization; The treatment results of hospitalized children were cure andimprovement in main.（2）The top five children’s hospital diseases: respiratory, digestive, neonatal, ENTand infectious diseases. Respiratory diseases, pneumonia, bronchial pneumonia andupper respiratory tract infection; digestive system to children with diarrhea; neonatalsystem disease in preterm infants, neonatal asphyxia and newborn; ENT diseases,tonsillitis, acute pharyngitis, adenoid; infected with the Department of diseases, thetop three for hand, foot and mouth disease, septicemia, measles.（3）Parents is the main choice of the medical treatment of children in select homes,parents’ age, the background of cultural knowledge (occupational) and the economicbase are important factors in determining the care seeking behavior; sick childrenmore willing to choose secondary hospitals.（4）Most of the Parents with children to choose from8:00to12:00for medicaltreatment; The main factors affect the children’s parents to choose hospital for healthcare quality and safety, followed by the doctor’s convenience (distance, transportation).