Bell Jane, Lingam Raghu, Wakefield Claire E, Fardell Joanna E, Zeltzer Justin, Hu Nan, Woolfenden Sue, Callander Emily, Marshall Glenn M, Nassar Natasha
Child Population and Translational Health Research, Children's Hospital at Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Population Child Health Research Group, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2020 Sep;56(9):1365-1370. doi: 10.1111/jpc.14932. Epub 2020 Jun 5.
To determine population-based prevalence, hospital use and costs for children admitted to hospital with chronic conditions.
We used hospital admissions data for children aged <16 years, 2002-2013 in New South Wales, Australia.
Of all admissions, 35% (n = 692 514) included a diagnosis of a chronic condition. In 2013, prevalence was 25.1 per 1000 children. Children with greater socio-economic disadvantage or living in regional and remote areas had lower prevalence, but a higher proportion of emergency admissions. Prevalence rates were highest for respiratory and neurological conditions (9.4, 7.4 per 1000, respectively). Mental health conditions were most common in older children. Admissions involving chronic conditions had longer length of stay (3.0 vs. 1.6 days), consumed more bed-days (50% of total) and involved 43% of total hospital costs.
Differences in prevalence and use of hospital services suggest inequities in access and need for more appropriate and equitable models of care.
确定因慢性病住院儿童的基于人群的患病率、住院情况及费用。
我们使用了澳大利亚新南威尔士州2002年至2013年16岁以下儿童的住院数据。
在所有住院病例中，35%（n = 692514）包含慢性病诊断。2013年，患病率为每1000名儿童中有25.1例。社会经济劣势较大或生活在地区及偏远地区的儿童患病率较低，但急诊住院比例较高。呼吸系统和神经系统疾病的患病率最高（分别为每1000名儿童中有9.4例和7.4例）。心理健康状况在大龄儿童中最为常见。涉及慢性病的住院病例住院时间更长（3.0天对1.6天），占用更多床日（占总数的50%），并占医院总费用的43%。
患病率和住院服务使用情况的差异表明在获得医疗服务方面存在不公平现象，需要更合适、公平的护理模式。
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