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Xinjiang Hydatid Disease Healith Service Research

Posted on:2017-06-10Degree:MasterType:Thesis
Country:ChinaCandidate:L Y A B D L A l i y a - A Full Text:PDF
GTID:2334330542966401Subject:Social Medicine and Health Management
Abstract/Summary:PDF Full Text Request
Objective:according to the distribution characteristics of the patients with hydatid disease in Xinjiang area,according to the different regions of different level hospitals of hydatid disease patients were investigated,a preliminary understanding of Xinjiang Province,city and county level hospital of hydatid disease treatment method and treatment effect of differences.Are the weak points of the prevention and control of hydatid disease and the related solving methods was found,which provide new reference for our region hydatid disease patients and treatment costs.Method:selection of hydatid disease in Xinjiang regions with a high incidence of the 5region and regional hospitals of different levels in accordance with the treatment of echinococcosis hospitalized patients as a research object,carries on the questionnaire survey.Interview:follow-up three months after discharge and six months after the patients through telephone interviews and in-depth understanding of the effect after operation.Retrospective analysis was performed on the.Results:(1)the Friendship Hospital of Yili,Yining County People's Hospital,first people's Hospital of Huocheng County People's Hospital,Kashi,Xinjiang Medical University First Affiliated Hospital of 2014-2015 hydatid disease 323 cases,including 289 cases of the number of patients with surgical treatment,the number of patients on drug treatment 34 cases.From age and sex distribution can be fancy,adolescents aged people,the incidence of male is much higher than that in females.1.22~2.28 female nurses in patients with multiple,and our country of hydatid disease characteristics.The occupation distribution,agriculture(animal husbandry)the incidence of people and other industries to do more.National distribution,incidence of Uygur and Kazak most,each accounted for 31.6%,28.2%.(2)of patients with surgical treatment and drug treatment of patients after treatment effect than the difference was statistically significant(~2=38.83,P<0.05).The feeling of self in the treatment of surgical treatment of patients after feeling very effective treatment in patients with drug treatment is higher than the proportion of the.(3)a different level of hospital treatment costs and the differences were statistically significant(~2=98.7,P<0.05).The First Affiliated Hospital of Xinjiang Medical University as a grade three hospital medical expenses than other hospitals.(4)a number of operation and hydatid disease treatment costs than the difference was statistically significant(~2=19.39,P<0.05).A patient cost of treatment was higher than the two surgery patients.(5)single factor Logistic regression analysis results visible age,gender,type of treatment,raising dogs,classification and operative treatment for type factors and hydatid disease treatment failure.(6)single factor Logistic regression analysis results visible age,gender,type of treatment,raising dogs,classification and operative treatment for type factors and hydatid disease is related to the recurrence.(7)in multiple stepwise regression analysis results it can be seen that the age group,whether there are complications,whether insured,professional and patient treatment costs related to the.conclusion:Xinjiang hydatid disease currently has the following characteristics:higher in males than in females:20-60 years more patients.Farmers and herdsmen,and other industries more than one;surgical treatment of patients with higher than drug treatment,the treatment is mainly based on surgical treatment.After the treatment effect is very effective.Three grade a hospital costs higher than the county hospital.Therefore on the prevention of early detection and early diagnosis and treatment of continuous norms,can reduce the recurrence rate of patients with hydatid disease.Binding studies can be drawn,Xinjiang hydatid disease of high incidence area,designated hospitals,community health service stations,rural health service station should be more of hydatid disease prevention and health promotion activities,especially in rural areas,pasture area of farmers and herdsmen,in order to improve Xinjiang residents of the worm disease prevention and control awareness.
Keywords/Search Tags:hydatid disease, treatment costs of, health economics
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