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某社区胃肠道疾病治疗的医院资源消耗情况

Consumption of hospital resources for treatment of gastrointestinal diseases in a community.

作者信息

Søreide O

出版信息

NIPH Ann. 1983 Dec;6(2):109-18.

PMID:6676679
Abstract

The consumption of hospital resources for treatment of gastrointestinal diseases in six counties in Norway (population 1.07 million) has been estimated based on hospital admission data. The number of discharges for men (1345/100 000 inhabitants) is about 30% higher than for female patients (1021/100 000 inhabitants) whereas the number of bed-days is only 8% higher, reflecting a difference in length of stay of about 2 days. The proportion of digestive diseases compared with the total somatic care varies between 8.8--10.3% depending upon the method of estimation. The consumption of resources is both age and sex dependent with an almost exponential age-dependence for patients older than 14, and with a male dominance for all age groups except for patients between 15 and 24 years of age. The proportion of digestive diseases compared with the total somatic care shows also sex- and age-group variations with high proportion (i e high consumption) for men in productive ages, whereas women in the same age groups have a considerably lower consumption. A marked increase in hospitalization time is found for older patients. Relatively low mortality rates are found for gastrointestinal diseases. Regional differences in consumption are revealed with differences in discharge rates of up to 50%, in bed-days up to 70% and with differences up to 20% for length of stay.

摘要

基于医院入院数据,对挪威六个县(人口107万)胃肠道疾病的治疗所消耗的医院资源进行了估算。男性出院人数(每10万居民中有1345人)比女性患者(每10万居民中有1021人)高出约30%,而住院天数仅高出8%,这反映出住院时间相差约2天。根据估算方法的不同,消化系统疾病在整个躯体护理中所占的比例在8.8%至10.3%之间变化。资源消耗既取决于年龄也取决于性别,14岁以上患者的资源消耗几乎呈指数级年龄依赖性,除15至24岁患者外,所有年龄组均以男性为主。消化系统疾病在整个躯体护理中所占的比例也存在性别和年龄组差异,生产年龄段男性的比例较高(即消耗较高),而同一年龄组女性的消耗则低得多。老年患者的住院时间明显增加。胃肠道疾病的死亡率相对较低。不同地区在资源消耗方面存在差异,出院率差异高达50%,住院天数差异高达70%,住院时间差异高达20%。

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