Chana-Cuevas Pedro, Ormazábal Francisco
Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago, Chile.
Departamento de Economía, Facultad de Administración y Economía, Universidad de Santiago de Chile, Santiago, Chile.
Rev Med Chil. 2021 Dec;149(12):1699-1706. doi: 10.4067/s0034-98872021001201699.
The progression of Parkinson's disease is associated with complications, most of them preventable.
To analyze hospitalizations with a diagnosis of Parkinson's disease in Chile, comparing the different health subsystems.
Analysis of hospital discharge database available at the website of the Chilean Ministry of Health. Discharges that incorporated the diagnosis of Parkinson's disease (ICD 10 code G20), between the years 2001 and 2018 were analyzed.
The rate of discharges with the diagnosis of Parkinson's disease was 34.5 per 100,000 hospitalizations. The figures were 55.2 and 29.8 discharges per 100,000 in 2001 and 2018, respectively. Sixty seven percent of hospital admissions for Parkinson's occurred in the public sector and corresponded to beneficiaries of the public health insurance system (FONASA). Beneficiaries of private insurance systems accounted for 12% of hospital admissions. The mean hospital stay was 13.4 days.
There is a decrease over time in the rate of hospitalizations with Parkinson's disease. This trend may be related with the incorporation of this disease in a special governmental program that guarantees a timely access to diagnosis and treatment.
帕金森病的进展与并发症相关，其中大多数是可预防的。
分析智利诊断为帕金森病的住院情况，比较不同的医疗子系统。
分析智利卫生部网站上的医院出院数据库。分析了2001年至2018年间纳入帕金森病诊断（国际疾病分类第10版代码G20）的出院情况。
帕金森病诊断的出院率为每10万次住院34.5例。2001年和2018年的数字分别为每10万次住院55.2例和29.8例。帕金森病住院患者的67%发生在公共部门，对应公共医疗保险系统（FONASA）的受益人。私人保险系统的受益人占住院人数的12%。平均住院天数为13.4天。
帕金森病的住院率随时间推移有所下降。这种趋势可能与该疾病纳入一项特殊的政府计划有关，该计划保证能及时获得诊断和治疗。
