斯偉青 劉銳 王春花

摘 要 目的：通過對上海市金山區(qū)兩家社區(qū)衛(wèi)生服務中心2019年門診數(shù)據(jù)分析，了解門診就診情況及疾病譜，為提升社區(qū)衛(wèi)生服務管理水平提供借鑒。方法：通過醫(yī)院信息管理系統(tǒng)收集門診電子病歷數(shù)據(jù)，內(nèi)容包括性別、年齡、就診時間、診斷編碼、診斷名稱等，根據(jù)國際疾病分類第十次修訂本（ICD-10），以第一診斷進行疾病歸類，并將就診人群按性別、年齡進行分組分析。結果：通過對兩社區(qū)門診數(shù)據(jù)分析發(fā)現(xiàn)，男性就診人群平均年齡、平均就診次數(shù)均小于女性，差異具有統(tǒng)計學意義（P<0.001）。人均就診次數(shù)隨年齡升高而增加，差異具有統(tǒng)計學意義（P<0.001）。排名前3位的病種為高血壓、上呼吸道感染、支氣管炎；男性患者病種類數(shù)少于女性，男性和女性患者的病種類數(shù)均隨著年齡的升高而增加，差異均具有統(tǒng)計學意義（P<0.001）。結論：金山區(qū)社區(qū)衛(wèi)生服務中心的門診患者以中老年人為主，1年多次就診、多病共存現(xiàn)象普遍，人均年病種類數(shù)隨著年齡的增加而增高。不同性別的患者就診特征存在差異，兩社區(qū)就診女性患者平均年齡大于男性，平均就診次數(shù)和病種類也高于男性。

關鍵詞 疾病譜；門診就診；社區(qū)衛(wèi)生服務中心

中圖分類號：R197 文獻標志碼：A 文章編號：1006-1533（2021）20-0054-04

基金項目：上海市金山區(qū)衛(wèi)生健康委員會科研課題項目（JSKJ-KTMS-2019-26）

Analysis of outpatient visits and disease spectrum of the community health service centers in Jinshan District， Shanghai

SI Weiqing1， LIU Rui2， WANG Chunhua3

（1.Medical Science and Education Department of Jinshan District Center of Health Service Management， Shanghai 200540， China； 2. Office of Industrial Zone Community Health Service Center of Jinshan District， Shanghai 200540， China； 3. Pharmacy Department of Shanyang Community Health Service Center of Jinshan District， Shanghai 200540， China）

ABSTRACT Objective： By analyzing the outpatient data of two community health service centers in Jinshan District of Shanghai in 2019 to understand the outpatient diagnosis and disease spectrum， so as to provide reference for improving the management level of the community health service. Methods： The outpatient electronic medical record data were collected through the hospital information management system， including gender， age， time of visit， diagnostic code， diagnostic name， etc， and according to the tenth revision of the international classification of diseases（ICD-10）， the first diagnosis was used to classify the diseases， and the patients were divided into groups and analyzed by gender and age. Results： By analyzing the outpatient data of the two communities， it was found that the average age and the average number of visits of men were less than that of women， and the difference was statistically significant（P<0.001）. The number of visits per capita increased with age， and the difference was statistically significant（P<0.001）. The top three diseases were hypertension， upper respiratory tract infection and bronchitis； the number of disease types in male patients was less than that in female patients， and the number of disease types in male and female patients increased with age， and the difference was statistically significant（P<0.001）. Conclusion： The outpatients of Jinshan community health service centers are mainly middle-aged and elderly people， the phenomenon of multiple visits in one year and the coexistence of multiple diseases is common and the number of annual disease types per capita increases with the increase of age. There are differences in the treatment characteristics of patients of different genders， the average age of female patients in the two communities is older than that of male patients， and the average number of visits and types of diseases of female patients are also higher than those of male patients.