Sun Yongsheng, Liu ChengJiang, Zhang Nianping, Yang Debing, Ma Cungen, Zhang Xi
Department of Neurology and Psychiatry, Medical College of Shanxi Datong University, Datong, 037009, People's Republic of China.
Department of General Medicine, Affiliated Anqing First People's Hospital of Anhui Medical University, Anhui, 246000, People's Republic of China.
Risk Manag Healthc Policy. 2024 Jan 25;17:213-224. doi: 10.2147/RMHP.S446845. eCollection 2024.
The common chronic non-communicable diseases and epidemiological characteristics of the forsaken elders over 60 in Guangling and Tianzhen were investigated and analyzed to provide reference for health resource allocation, hospital capacity establishing and health management of the forsaken elders in county-level regions.
The data of 10,331 resident elderly over 60 in Guangling and Tianzhen of Datong Civil Affairs Bureau in the management system for disabled and semi-disabled elderly was collected. The gender, age, main diagnosis and coding of diseases, common chronic non-communicable diseases, and system diseases of the respondents were retrospectively analyzed.
The prevalence of the forsaken elders aged over 60 in Guangling and Tianzhen were different. Hypertension, arthritis, type 2 diabetes, hyperlipidemia and cerebral infarction are the top five common chronic non infectious diseases in Guangling, Tianzhen and the two counties. Among the top five common diseases in Guangling, Tianzhen and the two counties, arthritis or rheumatism, hypertension, diabetes or elevated blood sugar were found, which were different in the 60-65, 66-70, 71-75 and 76-80 groups, with the prevalence increasing with age. The top five diseases in Guangling, Tianzhen and the two counties were consistent, while the ranking changed slightly. The proportion of circulatory diseases, musculoskeletal diseases, connective tissue diseases and endocrine/nutritional and metabolic diseases in 60-65, 66-70 and 71-75 groups increased with age, and was much higher than that in other groups.
The prevalence and disease spectrum order of common chronic non-communicable diseases and systemic diseases in Guangling and Tianzhen are diverse, also in gender and age groups. As China's county-level local administrative divisions have relatively independent administrative autonomy, medical and health resources can be better configured according to the information mined, accurately maintaining and promoting residents' health. It is suggested to explore the disease management mechanism with county-level administrative divisions as database management units under the background of big data, so as to implement the interconnection and sharing of information among health-related departments in county-level regions.
调查分析广灵县和天镇县60岁以上失能老人常见慢性非传染性疾病及流行病学特征，为县级地区失能老人的卫生资源配置、医院能力建设及健康管理提供参考。
收集大同市民政局管理系统中广灵县和天镇县10331名60岁以上常住老年残疾人及半残疾人的数据。对受访者的性别、年龄、疾病主要诊断及编码、常见慢性非传染性疾病和系统疾病进行回顾性分析。
广灵县和天镇县60岁以上失能老人患病率存在差异。高血压、关节炎、2型糖尿病、高脂血症和脑梗死是广灵县、天镇县及两县共同的前五位常见慢性非传染性疾病。在广灵县、天镇县及两县的前五位常见疾病中，发现关节炎或风湿病、高血压、糖尿病或血糖升高在60 - 65岁、66 - 70岁、71 - 75岁和76 - 80岁组存在差异，患病率随年龄增长而升高。广灵县、天镇县及两县的前五位疾病一致，但排名略有变化。60 - 65岁、66 - 70岁和71 - 75岁组循环系统疾病、肌肉骨骼疾病、结缔组织疾病和内分泌/营养及代谢疾病的比例随年龄增加，且远高于其他组。
广灵县和天镇县常见慢性非传染性疾病和系统疾病的患病率及病种谱顺序在性别和年龄组中各不相同。由于我国县级地方行政区划具有相对独立的行政自主权，可根据挖掘出的信息更好地配置医疗卫生资源，精准维护和促进居民健康。建议在大数据背景下，探索以县级行政区划为数据库管理单元的疾病管理机制，实现县级地区卫生相关部门间信息的互联互通与共享。
