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目的对比分析林州市县-乡-村三级医疗机构接诊的疾病类型,评估该地区三级医疗网络是否有效地解决了常见病和多发病就诊问题。方法收集林州市县-乡-村三级医疗网络中11所医疗机构2013年10月-2015年7月所接诊的疾病信息,进行回顾性对比统计分析。结果县级医疗机构住院患者疾病分类中循环系统疾病的构成比(22.66%)最高,其次是呼吸系统疾病(14.16%)、妊娠分娩和产褥期疾病(14.16%)、肿瘤(10.98%)和消化系统疾病(7.22%)。各乡级医疗机构的接诊能力及接诊病种差异明显,其中姚村卫生院因独有的早期食管癌诊疗特色使肿瘤高居其疾病分类首位,其他乡镇卫生院则以循环系统疾病为主要病种。各村级医疗机构整体以呼吸系统疾病、消化系统疾病为主要疾病。结论林州县-乡-村三级医疗机构间的主要接诊病种既有层次差异又有相互重叠之处;同级医疗机构接收疾病类型存在一定差距,但能满足林州市居民的基本就诊需求。
Objective To compare and analyze the types of diseases accepted by tertiary medical institutions in county-township-village-level hospitals in Linzhou and assess whether the tertiary medical networks in the region effectively solve the common and frequently-occurring problems of medical treatment. Methods The information collected from 11 medical institutions in the county-township-village medical network of Linzhou from October 2013 to July 2015 was retrospectively compared and statistically analyzed. Results The incidence of circulatory diseases was highest in hospitalized patients (22.66%) at county level, followed by respiratory diseases (14.16%), pregnancy and childbirth (14.16%), tumors (10.98%) and digestive system Disease (7.22%). Differences in the admissions ability and admissions among township-level medical institutions were significant, among which Yaocun Hospital ranked the first place in terms of its unique disease diagnosis and treatment of esophageal cancer. Other township hospitals focused on circulatory diseases Diseases. The village medical institutions as a whole to respiratory diseases, digestive diseases as the main disease. Conclusions The main types of admissions for medical institutions in Linzhou county-township-village level are different in level and overlapping with each other. There is a certain gap between the types of diseases received by medical institutions at the same level, but they can meet the basic needs of residents in Linzhou Visiting needs.