Disease Constitution and Cost Analysis of Inpatients in the Department of Gynaecology of the Chengdu Women's and Children's Central Hospital in 2013_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHALi ¹ , LAIFan ¹ ,  HUANGWei ²

1. Department of Gynaecology and Obstetrics, Chengdu Women's & Childen's Central Hospital, Chengdu, 610091, China;
2. Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

HUANGWei, Email: weihuang64@163.com

Keywords：

Gynaecology; Disease constitution; Cost analysis; Cross-sectional study

DOI：

10.7507/1672-2531.20150006

Video：

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Objective To analyze disease constitution and cost analysis of inpatients in the department of gynaecology of the Chengdu Women's and Children's Central Hospital in 2013, so as to get known of the patients' demands in diagnosis and treatment, and to provide evidence for further studies. Methods We collected information of 5 663 cases through medical records in 2013, standardized disease names according to the WHO international classification of diseases (ICD-10), and classified the kinds of diseases according to the first diagnosis of discharge records. Then we adopted the Excel software for data sorting and statistical analysis. Results a) Most of the inpatients were women at childbearing age. The diseases pectrum included 13 categories, with the top 3 systematic diseases including diseases during pregnancy/childbirth and puerperium (50.19%); diseases of the genitourinary system (29.31%), and neoplasms (15.54%). b) According to the ICD-10, the top 5 single diseases during pregnancy/childbirth and puerperium were ectopic pregnancy, abortion, missed abortion, threatened abortion, and hyperemesis during pregnancy; the top 5 single diseases of the genitourinary system were endometrial polyps, ovarian endometriosis cyst, uterine adenomyosis, female secondary infertility, and uterus adhesion; the top 5 single diseases of neoplasms were uterine fibroid, ovarian benign tumour, ovarian teratoma, cervical malignant tumour, and cervical carcinoma in situ. c) The average hospital stay in this department in 2013 were 6.31 days, and the average cost per capita were 6 051.10 yuan, with the top 3 kinds of costs including drugs (28.82%), operation (26.32%), and examination (20.09%). Conclusion Most of the inpatients are women at childbearing age in the department of gynaecology of the Chengdu Women's and Children's Central Hospital in 2013. Ectopic pregnancy, abortion and leiomyoma etc., are commonly-seen in this department. The average hospital stay of the inpatients is relatively short. Drugs and surgeries are main costs during hospitalization. Based on commonly-seen gynaecological disease burden, this hospital should urgently need to reinforce the construction of the specialized subjects, look for their own advantages, increase or adjust manpower, material resources and financial investment according to targets, so as to improve the quality and efficiency of medical service.

Citation： ZHALi, LAIFan, HUANGWei. Disease Constitution and Cost Analysis of Inpatients in the Department of Gynaecology of the Chengdu Women's and Children's Central Hospital in 2013. Chinese Journal of Evidence-Based Medicine, 2015, 15(1): 16-22. doi: 10.7507/1672-2531.20150006 Copy

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1. 世界衛生組織. 疾病和有關健康問題的國際統計分類第十次修訂本(ICD-10). 第2版, 董景五, 譯. 北京:人民衛生出版社, 2008:8-12.
2. 郭蕓, 馬莉. 11501例婦科住院患者疾病譜調查分析. 中國實用醫藥. 2012, 7(27):258-260.
3. 唐龍英, 徐東英, 倪倩, 等. 異位妊娠發病趨勢和臨床診治分析. 實用婦產科雜, 2012, 28(9):789-792.
4. Marion L, Georg R. Ectopicpregnancy:history, incidence, epidemiology, andriskfactors. Clinical Obstet and Gynecol, 2012, 55(2):376-338.
5. 劉穎. 異位妊娠發病趨勢和臨床診治分析. 中國民康醫學, 2014, 26(9):64-65.
6. 宋天會, 田小麗, 徐應臣, 等. 計劃生育手術與異位妊娠發病相關因素探討. 現代醫藥衛生, 2014, 30(10):1475-1476.
7. 張慧, 劉建, 張淑芝. 深圳市南山區異位妊娠發病現狀的調查分析. 中華全科醫學, 2011, 9(9):1424-1425, 1432.
8. 陳美歡, 聶瑩, 郭蘭英, 等. 某地區人工流產年齡分布趨勢調查與分析. 中國醫療前沿, 2010, 5(15):90-91.
9. 顧燕芳, 陳雅芬, 于亮. 無錫市2001~2008年育齡婦女人工流產趨勢及原因分析. 中國婦幼保健, 2012, 27(35):5761-5763.
10. 查文婷, 胡平成, 孫振球. 未婚人工流產女性生殖健康知識、態度、行為及影響因素研究. 中國計劃生育學雜志, 2010, 6(2):348-351.
11. 彭少芳, 王文珊, 吳菊虹, 等. 人工流產后不孕繼發自然流產的發病機理分析. 湖北中醫雜志, 2012, 34(7):15-16.
12. Cakmak H, Faylor HS. Implantation failure:molecular mechanisms and clinical treatment. Hum Reprod Update, 2011, 17(2):242-253.
13. Carlson JW, Mutter GL. Endometrial intraepithelial neoplasia is associated with polyps and frequently has metaplastic change. Histopathology, 2008, 53(3):325-332.
14. Gregoriou O, Konidaris S, Vrachnis N, et al. Clinical parameters linked with malignancy in endometrial polyps. Climaeleric, 2009, 12(2):454-458.
15. 黃曉陽, 楊菁. 子宮內膜異位癥所致卵巢功能改變與不孕的關系. 國外醫學計劃生育/生殖健康分冊, 2006, 25(4):205.
16. 胡旭, 候杰, 李樹武. 子宮內膜異位癥與異位妊娠的臨床關系探討. 臨床和實驗醫學雜志, 2012, 11(17):1424-1425.
17. 劉麗, 丁輝, 潘迎, 等. 北京市婦女病普查中惡性腫瘤的檢出狀況與趨勢. 中國婦幼保健, 2013, 28(22):3644-3646.
18. 王雙雙. 247 例婦科腫瘤臨床分析. 中國婦幼保健, 2014, 29(24):3904-3905.
19. 中華人民共和國衛生部.《2012中國衛生統計提要》.Available at:http://www.moh.gov.cn/zwgkzt/ptjty/201206/55044.shtml.
20. 聞人坊, 熊小娟. 我院婦科2009-2011年前11位病種及費用分析. 中國當代醫藥, 2013, 20 (27):147-151.

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Disease Constitution and Cost Analysis of Inpatients in the Department of Gynaecology of the Chengdu Women's and Children's Central Hospital in 2013

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