摘要
目的分析本院6年内科门、急诊患者的特点,为加强医院的门、急诊管理和改革提供依据。方法收集近6年来内科门、急诊日志,分析患者的年龄、来源、病因、病种特点、就诊时间分布,就诊量的变化,病种与年龄的关系等。结果医疗改革后,门诊量下降明显,急诊比例相对上升。年龄特点:门诊以60岁以上老年人占第一,急诊以20～39岁中青年占第一。患者来源:患者来自本局职工及住宅区,急诊占33.8%,门诊占50.8%。时间分布:门诊人数呈现两个高峰,两个低谷。高峰常是4、5月与12月,低谷是2、10月。急诊则以5、6、7、8月为高峰期,1、2、11月为低谷。病种特点:门诊以心血管疾病占第一;急诊以上呼吸道感染占第一。年龄与病种的关系:门诊患者中,40岁以下呼吸系统疾病占第一位,40岁以上以心血管疾病占第一;急诊患者中,50岁以下以呼吸系统疾病占第一位,50岁以上以心血管疾病占第一,而且在此年龄组脑血管疾病明显增加。结论企业医院门急诊患者有其自身的特点,医疗改革后,其特点已发生很大变化,根据其变化加强门、急诊管理和改革,进行健康宣教,具有重要的意义。
Objective To analyze the characteristic of medical department outpatients and emergency in the past 6 years in our hospital, so as to provide evidence for strengthening the management of outpatients and emergency patients in the hospital. Methods Collecting medical department outpatients and emergency log in the past 6 years, and analyzing the age, source, etiological factor, entity character, visit time distribution, variation of visit quantity, the relation of entity and age. Results After the health care reform, outpatient clinic visit quantity went down and the emergency proportion relatively went up. The age character： people over 60 accounted the first in the outpatient clinic, however, the young man between 20 and accounted the first in the emergency, source of the patients ： the patients of hospital employee and residential area accounted 33.8% in the emergency, 50. 8% in the outpatient clinic. Time distribution： In outpatient clinic , it presented two peak time and two ebb time： the peak time were April, May and August, the ebb time were February and October. In the emergency, the peak time were May, June, July and August, the ebb time were January, February and December. Every day, the patients before midnight accounted the first. Entity character： cardiovascular diseases accounted the first in the outpatient clinic and upper respiratory infection accounted the first in the emergency. The relation of entity and age ： in the outpatient clinic, diseases of respiratory system accounted the firs in people below 40, and cardiovascular diseases accounted the first in people over 40. In the emergency, diseases of respiratory system accounted the first in people below 50, cardiovascular disease accounted the first in people above 50, moreover, in this age group, cerebrovascular diseases obviously increased. Conclusion In enterprise hospital, the patient of outpatient clinic and emergency has his own characteristic and the characte.ristic has greatly changed after the health care reform. According the change, it is important to enhance management and reform of the outpatient clinic and emergency and also should carry out health education.
出处
《实用心脑肺血管病杂志》
2006年第3期207-209,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
门诊
急诊
就诊特点
Clinics
Emergency service
Visit characteristic
