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日间手术系统地区和专业领域差异的探索。

Exploration of Disparities in Regions and Specialized Fields of Day Surgery System.

机构信息

Faculty of Mining, Ecology, Process Control and Geotechnologies of the Technical University of Košice, 040 01 Košice, Slovakia.

Faculty of Economics, Matej Bel University, 974 01 Banska Bystrica, Slovakia.

出版信息

Int J Environ Res Public Health. 2020 Feb 3;17(3):936. doi: 10.3390/ijerph17030936.

Abstract

The main objective of this paper was to find similarities among eight Slovak regions from the viewpoint of five specialized day surgery fields and among specialized day surgery fields from the viewpoint of Slovak regions on the basis of day surgery operated and hospitalized patient counts. Day surgery data of paediatric patients and of adult patients from the National Health Information Centre during the years 2009-2017 were used. Correspondence analysis in two dimensions of the Slovak regions and of specialized day surgery fields was applied in order to achieve the paper's objective. The Košice Region differs most from the overall national average in both groups of paediatric day surgery. This is caused by its largest proportions in the fields of Gynaecology (29.7%) and Urology (48.0%) (operated patients), and in the fields of Gynaecology (60.5%) and Surgery (21.6%) (hospitalized patients). The most different specialized day surgery fields from overall average are: Urology (operated paediatric patients), Gynaecology (hospitalized paediatric patients), Otorhinolaryngology (operated adult patients) and Ophthalmology (hospitalized adult patients). Urogenital system day surgery procedures (Gynaecology, Urology) are separated from other three fields (i.e., Surgery, Ophthalmology, Otorhinolaryngology) either in the first or in the second dimension of the singular value matrix decomposition.

摘要

本文的主要目的是根据手术和住院患者数量,在五个专业日间手术领域内寻找 8 个斯洛伐克地区之间的相似之处,以及在斯洛伐克地区内寻找日间手术领域之间的相似之处。使用了国家卫生信息中心在 2009-2017 年期间的儿科和成年患者日间手术数据。为了实现本文的目标,应用了二维对应分析来分析斯洛伐克地区和专业日间手术领域。在儿科日间手术的两个组中,科希策地区与全国平均水平差异最大。这是由于其在妇产科(29.7%)和泌尿科(48.0%)(手术患者)以及妇产科(60.5%)和外科(21.6%)(住院患者)领域中的比例最大造成的。与总体平均值差异最大的专业日间手术领域是:泌尿科(手术儿科患者)、妇产科(住院儿科患者)、耳鼻喉科(手术成年患者)和眼科(住院成年患者)。泌尿生殖系统日间手术程序(妇产科、泌尿科)与其他三个领域(外科、眼科、耳鼻喉科)在奇异值矩阵分解的第一维或第二维中分开。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4f7/7038371/6ac1bad41805/ijerph-17-00936-g001.jpg

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