Zhang Wanqing, Watanabe-Galloway Shinobu
Department of Health Services Research & Administration, University of Nebraska Medical Center, Omaha, NE 68198-4350, USA.
Congest Heart Fail. 2008 Sep-Oct;14(5):266-71. doi: 10.1111/j.1751-7133.2008.00009.x.
This study used data from the National Hospital Discharge Survey to examine secular trends and regional variation in hospitalization rates for congestive heart failure. The hospitalization rate for congestive heart failure rose significantly between 1995 and 2004 for adults aged 35 to 64 years. This trend was particularly marked in the West region (from 10.3 per 10,000 population in 1995 to 17.0 per 10,000 population in 2004; P<.001) and the South region (from 21.9 per 10,000 population in 1995 to 27.6 per 10,000 population in 2004; P<.001). The regional variations for congestive heart failure hospitalization among adults aged 35 to 64 years were associated with primary care physicians per 10,000 population, regional income level, and the proportion of Medicare payment.
本研究使用了来自国家医院出院调查的数据，以考察充血性心力衰竭住院率的长期趋势和地区差异。1995年至2004年期间，35至64岁成年人的充血性心力衰竭住院率显著上升。这一趋势在西部地区（从1995年的每10000人中有10.3例升至2004年的每10000人中有17.0例；P<0.001）和南部地区（从1995年的每10000人中有21.9例升至2004年的每10000人中有27.6例；P<0.001）尤为明显。35至64岁成年人充血性心力衰竭住院的地区差异与每10000人口中的初级保健医生数量、地区收入水平以及医疗保险支付比例有关。
