Research Of Diseases Spectrum Of Outpayienta Of A Teaching Hospital1 In Shandong Province From 2012 To 2015

BackgroundThe hospital is located in the capital city of Shandong Province, after decades of innovation, the hospital into the fast lane, construction has become a set of medical, teaching, research, rehabilitation, health care, prevention, first aid in one of the large-scale comprehensive provincial class hospital, medical technology force, complete disciplines complete, most patients from the local and other provincial cities.Social progress, people’s living standards improve, health awareness also increases, while hospitals in the development of the disease spectrum composition also quietly changing. The hospital has developed rapidly in recent years, regardless of specialty construction, or the introduction of talent, strength, gradually increase the range, scope and number of patients admitted to hospital has gradually expanded, increase.But the hospital is facing the grim situation, the Government has encouraged more high-quality medical resources to sink, and introduced a number of policy-oriented, requiring more specific functional orientation to large general hospital as soon as possible to establish and improve community health service centers and convenient way referral, further bigger and stronger cooperation hospital brand, but to solve problems of severe crisis as a clinical priority, to build clinical, teaching, research and coordinated development research hospital as a direction, the only way to attract more sources, in the fierce market competition invincible. While the market is facing more intense competition in the hospital, the hospital is located in the center of the capital, hospital buildings surrounding the major hospitals, how to break through in the competitive health care market, further develop the health care market, the expansion of the hospital affected radius expand hospital services, will be the important issue facing the courtyard.Based on the patients discharged from the hospital in recent years, major, frequently occurring species, changes in disease spectrum, and potential harm to people’s health diseases research, in the hope hospital disciplines, disciplines play a brand advantage, qualified personnel, the overall development of hospital provide effective advice and recommendations to provide a reliable reference for decision makers in hospital management and rational allocation of health resources. ObjectivesBy understand, analyze, investigate hospital 2011-2015 years of discharged patients with the disease spectrum structure composition, trends, understand the social health needs, hospital managers for decision-making, deployment of relevant departments, hospitals disciplines provide the scientific basis for the rational allocation of limited medical resources. Research and analysis of the spectrum of disease can also be developed for the hospital development strategy, adjust the direction of development to provide a scientific basis for specialist.Data and methods1、Data(1) ReferenceDiscover PUBMED, Articles, CNKI, VIP database and other related papers, journal information; inquiries country, the Ministry of Health and Family Planning Commission and other government sites, collection of materials, statistical yearbooks and other information aspects of the disease spectrum.(2) DataData Sources A retrospective survey methods, the transfer of the hospital "digital hospital medical record statistical system" in the January 1,2012 to December 31,2015, in patients four years of medical records Home information, disease diagnosis type "discharge the main diagnosis "will extract relevant data, establish EXCLE spreadsheet database, information is true and reliable.2、Methods(1) Document Now:The spectrum of disease trends around the country in recent years, health care policy adjustment, the future development strategy hospitals literature review research.(2) All the medical records of patients discharged home, "the main discharge diagnosis" are criteria, disease diagnosis type is equal to "discharge the primary diagnosis," according to the International Classification of Diseases (ICD-10) were based on the statistical classification of diseases. Accordance with the "Diseases and Related Health Problems International Statistical Classification (tenth revised edition) Second Edition", the general age-related statistics packet recommendations, will be discharged in accordance with the patient’s age 0～1～ 14,15～44,45～64 and 65～years age group. The collected data were statistically analyzed to establish a database EXCEL2007Results1.2012--2015 years of discharged patients before 10 single disease is unstable angina (2.62%), coronary atherosclerotic heart disease (2.46%), cerebral infarction (1.97%), pneumonia (1.87%), malignant lung tumors (1.79%), type 2 diabetes (1.63%), renal transplantation (1.54%), hypertension (1.52%), chronic kidney disease,5 (1.45%) and cerebral arterial insufficiency (1.39%).2.2012--2015 years of discharged patients top ten diseases were followed by circulatory system diseases (21.14%), tumors (13.19%), digestive diseases (10.05%), respiratory system diseases (8.24%), genitourinary system diseases (7.89%), pregnancy, childbirth and postpartum (7.64%), the impact of health status and contact with health institutions factor disease (7.16%), musculoskeletal system and connective tissue diseases (4.68%), blood and blood-forming organs diseases (4.29%) endocrine nutritional and metabolic diseases (3.65%)3.2012--2015 hospital was discharged patients showed a significant increasing trend year by year, accounting for up to 45-64 year-old male patient, but the patient was discharged gender ratio of 100:106, the number of female patients is slightly higher than male patients.4. Male patients discharged constituent ratio greater than 10% of the disease followed by circulatory system diseases (23.19%), tumors (15.42%), digestive diseases (11.48%). Female patients discharged constituent ratio greater than 10% followed by circulatory system diseases (18.19%), pregnancy, childbirth and the puerperium (14.41%), tumors (10.44%).5. Circulatory system diseases mainly in the age group 65 to, cancer and digestive diseases mainly concentrated in the 45 to 64 age group, respiratory diseases focused on 14-year-old age group, urogenital system diseases mainly in the 15 to 44 age group.6. The number of patients participating hospitals in the field is growing rapidly.Conclusions and recommendations1.Further strengthen encephalopathy specialist, gastroenterology, oncology, obstetrics and gynecology, pediatric respiratory medicine building.2. Continue to further strengthen and improve the discipline, maintain the characteristics of technological superiority, outstanding hospital care brands.3. Control single disease average length of stay and continue to promote clinical pathways and standardized single disease management.4. Further improve the level of hospital information technology, use of information technology means to improve the scientific management level of the hospital.