河南省巩义市0~14岁患者住院病种及费用分析

目的：了解儿童住院疾病谱及住院费用情况，为优化医疗资源的配置提供参考依据。方法采用回顾性资料分析方法对河南省巩义市2011~2013年0~14岁新农合住院患者的资料进行统计分析。结果巩义市0~14岁儿童以呼吸系统疾病占第1位（55.68%），其次为消化系统疾病（19.44%）；排行前10位的单病种疾病分别为气管支气管炎（18.98%）、上呼吸道感染（8.93%）、扁桃体炎（8.79%）、疱疹性咽峡炎（6.86%）、肺炎（5.42%）、支气管肺炎（5.05%）、喘息性支气管炎（4.80%）、手足口病（4.56%）、黄疸（3.32%）、腹股沟疝（2.96%）。大多数患者选择县级医院治疗；医院级别越高，日均花费越多（P=0.000），平均住院日越长（P=0.001）。结论巩义市0~14岁儿童住院疾病以呼吸系统疾病占第1位，应加强乡级医院建设。

Analysis of inpatient disease and cost of patients 0-14 years old patients in Gongyi city of Henan province

Objective To understand the hospitalization disease spectrum and cost in children and provide the refer-ence for the optimization of the allocation of medical resources. Methods Data of new rural cooperative medical inpa-tients of 0-14 years old in Gongyi city of Henan province from 2011 to 2013 was retrospective analyzed. Results The respiratory disease （55.68%） of 0-14 years old children in Gongyi city was ranked the first,followed by the digestive sys-tem diseases （19.44%）;the top 10 single disease were bronchitis （18.98%）,upper respiratory tract infection （8.93%）,ton-sillitis （8.79%）, herpes simplex pharyngeal diverticulum （6.86%）, pneumonia （5.42%）, bronchial pneumonia （5.05%）, asthmatic bronchitis （4.80%）,foot and mouth disease （4.56%）, jaundice （3.32%）,inguinal hernia （2.96%）.The majority of patients choosed county hospital treatment;the higher the level of hospital,average daily spend more （P=0.000）,the aver-age hospitalization days longer （P=0.001）. Conclusion The respiratory disease of 0-14 years old children in Gongyi city is ranked the first,the construction of township hospitals should be strengthened.