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目的:通过分析甘肃省基层卫生医疗机构住院患者情况,为卫生适宜技术筛选提供依据。方法:抽取皋兰、临泽两县2007年基层医疗机构住院患者的病历资料,获取疾病、费用等信息,并分析其构成情况。结果:县级医疗机构住院患者常见疾病为开放性创伤和血管损伤、骨折、正常分娩、阑尾疾病、胆结石症和胆囊炎;乡镇卫生院为胆结石症和胆囊炎、上感、慢支、肺原性心脏病和缺血性心脏病等疾病。县级医疗机构例均住院费用、日均住院费用均高于乡镇卫生院,西药费、床位费及诊疗费占住院费用55.0%以上;县、乡两级医疗机构治疗方式均以药物为主,所占比重分别为72.16%、85.25%。结论:卫生适宜技术筛选应符合当地疾病谱,并加大中医药技术的比例。
OBJECTIVE: To provide a basis for the screening of appropriate health technologies by analyzing the inpatients’ status of primary health care institutions in Gansu Province. Methods: The medical records of inpatients in grass - roots medical institutions in Gaolan and Linze counties were collected from 2007 to obtain the information such as diseases and expenses, and analyzed their composition. Results: Common diseases of hospitalized patients in county-level medical institutions were open trauma and vascular injury, fracture, normal delivery, appendectosis, gallstone and cholecystitis; township hospitals were gallstone and cholecystitis, Pulmonary heart disease and ischemic heart disease and other diseases. The average hospitalization cost and the average daily hospitalization cost of county-level medical institutions were higher than that of township hospitals, while the western drug fees, bed fees and medical expenses accounted for 55.0% of the hospitalization expenses. The treatment methods of medical institutions at county and township level were mainly medicine, The proportions were 72.16% and 85.25% respectively. Conclusion: Screening of appropriate sanitary techniques should be consistent with the local disease spectrum, and increase the proportion of Chinese medicine technology.