四川大学华西医院内分泌代谢科2011~2012年住院患者疾病构成与费用调查

目的调查分析四川大学华西医院内分泌代谢科2011~2012年住院疾病构成及费用情况。方法从四川大学华西医院住院电子病历系统(HIS系统)中提取2011年1月~2012年8月内分泌代谢科住院患者的病例资料,内容包括住院患者的基本信息、出院诊断、住院费用及是否在院登记医保等。根据国际疾病分类(ICD-10)标准对出院记录的各项诊断进行疾病分类,并采用Excel 2010软件整理数据,SPSS 13.0软件进行统计分析。结果①2011~2012年该院内分泌代谢科住院患者前五位病种依次为糖尿病、下丘脑-垂体-肾上腺/性腺疾病、其他系统疾病、甲状腺疾病和代谢性骨病。②人均住院日前五位病种依次为糖尿病、营养不良、代谢性骨病、其他系统疾病和下丘脑-垂体-肾上腺/性腺疾病。③人均总费用前五位病种依次为糖尿病、代谢性骨病、其他系统疾病、营养不良和其他营养素缺乏疾病。结论糖尿病及其并发症是四川大学华西医院内分泌代谢科住院患者的主要病种及疾病负担来源。

Survey on Constitution and Financial Burden of Disease in In-patient Department of Endocrinology and Metabolism of West China Hospital during 2011-2012

ObjectiveTo investigate constitution and financial burden of disease in the West China Hospital of Sichuan University during 2011-2012. MethodsThe data of in-patients （who had been discharged from the department of endocrinology and metabolism or discharged after being transferred to other departments for diagnosis and treatment in the West China Hospital from January 2011 to April 2012） were collected from the Hospital Information System （HIS） of the West China Hospital, including basic information, discharge diagnosis, hospital costs, the information about whether the patients had been registered the insurance in hospital, etc. We classified diseases according to ICD-10 based on each diagnosis when the patients were discharged on the first page of case reports. The data were input using Excel 2010 software, and statistical analysis was performed using SPSS 13.0 software. Resultsa） During 2011-2012, in the department of endocrinology and metabolism, the top five commonly-seen diseases of in-patients were： diabetes, followed by hypothalamic-pituitary-adrenal/gonadal disease, diseases other than endocrine disorders, thyroid disease, and metabolic bone disease. b） The diseases of the top five average hospital stay included： diabetes, followed by malnutrition, metabolic bone disease, diseases other than endocrine disorders, and hypothalamic-pituitary -adrenal/gonadal disease. c） The diseases of the top five total costs of included： diabetes, followed by metabolic bone disease, diseases other than endocrine disorders, malnutrition, and other nutrients deficiency. ConclusionDiabetes and its complications are the major disease as well as the major cause of the burden of disease in the in-patient department of endocrinology and metabolism of the West China Hospital of Sichuan University.