Analysis of Peasants’ Hospitalization Due to External Causes of Illness and Death in a County from 2009 to 2010_Chinese Journal of Evidence-Based Medicine

Authors：

CHEN Xiaoling ¹ ,  LIU Lihang ²

1. Jili Township Health Center in Liuyang, Changsha 410300, China;2. Politics and Administration College, Central South University, Changsha 410083, China;

Corresponding author：

LIU Lihang, Email: liulihang@xysm.net

Keywords：

External causes of illness and death; New rural cooperative medical scheme (NRCMS)

DOI：

10.7507/1672-2531.20120180

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To analyze detailed records of peasants’ hospitalization and compensation due to external causes of illness and death based on a county’s new rural cooperative medical scheme (NRCMS) from 2009 to 2010.
Methods 　We systematically acquired the relevant record data of all inpatients via the management information system of NRCMS in this county. According to ICD-10 coding, we categorized and divided diseases into groups in basis of discharge diagnosis of each inpatient. Data were analyzed using SPSS 17.0.
Results 　Inpatients due to external causes of illness and death who participated in the NRCMS accounted for 17.4% (7 913/45 432) of the total inpatient person-time in 2009 and 20.7% (12 568/60 643) in 2010. External causes of illness and death ranked the first in the hospitalization disease spectrum, which mainly were animal bites and accidental injuries. About 20% of their hospitalization expense was compensated by the NRCMS. More than half of the inpatients could be hospitalized for the treatment in the county township health center (59.6% in 2009 and 66.8% in 2010).
Conclusion 　The result of this study indicates that external causes of illness and death including animal bites and accidental injuries have been a major health problem that peasants in this county face.

Citation： CHEN Xiaoling,LIU Lihang. Analysis of Peasants’ Hospitalization Due to External Causes of Illness and Death in a County from 2009 to 2010. Chinese Journal of Evidence-Based Medicine, 2012, 12(9): 1156-1158. doi: 10.7507/1672-2531.20120180 Copy

1.	WHO. International Statistical Classification of Diseases and Related Health Problems 10th Revision. http://apps.who.int/classifications/icd10/browse/2010/en.
2.	The European health report 2009. http://www.euro.who.int/Document/E931 03.pdf.
3.	Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Geneva, World Health Organization, 2008. http://www.who.int/social_ determinants/en.
4.	毛正中. 也说新农合的规定性问题. 卫生经济研究, 2010, 11: 1.
5.	侯艳. 新型农村合作医疗费用控制问题研究——以陕西省为例. 西安: 西北大学, 2008.
6.	Marmot MG, Bell R. Action on health disparities in the United States: commission on social determinants of health. JAMA, 2009, 301(11): 1169-1171.
7.	Walker SP, Wachs TD, Gardner JM, et al. Child development: risk factors for adverse outcomes in developing countries. Lancet, 2007, 369(9556): 145-157.
8.	Reducing health inequities through action on the social determinants of health. Geneva, World Health Organization, 2009.[2010-2-18].EB124.R6; http://www.who.int/gb/ebwha/pdf_files/EB124/B124_R6-en.pdf.
9.	Nolte E, McKee M, Gilmore A. Morbidity and mortality in the transition countries of Europe.Population challenges and policy responses. New York, United Nations, 2005.http://www.unece.org/pau/_docs/pau/PAU_2005 _Publ_NDRCh 09.pdf.
10.	Smits J, Monden C. Length of life inequality around the globe. Social Science and Medicine, 2009, 68: 1114-1123.
11.	McKee M, Nolte E. Health sector reforms in central and eastern Europe: how well are health services responding to changing patterns of health? Demographic Research, 2004, Special collection 2, Article 7: 163-181.
12.	Nolte E, McKee M. Does health care save lives? Avoidable mortality revisited. London, Nuffield Trust, 2004. http://www.nuffieldtrust.org.uk/ecomm /files/21404avoidablemortality2.pdf.
13.	Bobak M, Marmot M. Societal transition and health. Lancet, 2009, 373: 360–363.
14.	The European health report 2005. Public health action for healthier children and populations. Copenhagen, WHO Regional Office for Europe, 2005. http://www.euro.who.int/ehr 2005.
15.	The world health report 2004. Changing history. Geneva, World Health Organization, 2004. http://www.who.int/whr/2004/en.

1. WHO. International Statistical Classification of Diseases and Related Health Problems 10th Revision. http://apps.who.int/classifications/icd10/browse/2010/en.
2. The European health report 2009. http://www.euro.who.int/Document/E931 03.pdf.
3. Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Geneva, World Health Organization, 2008. http://www.who.int/social_ determinants/en.
4. 毛正中. 也说新农合的规定性问题. 卫生经济研究, 2010, 11: 1.
5. 侯艳. 新型农村合作医疗费用控制问题研究——以陕西省为例. 西安: 西北大学, 2008.
6. Marmot MG, Bell R. Action on health disparities in the United States: commission on social determinants of health. JAMA, 2009, 301(11): 1169-1171.
7. Walker SP, Wachs TD, Gardner JM, et al. Child development: risk factors for adverse outcomes in developing countries. Lancet, 2007, 369(9556): 145-157.
8. Reducing health inequities through action on the social determinants of health. Geneva, World Health Organization, 2009.[2010-2-18].EB124.R6; http://www.who.int/gb/ebwha/pdf_files/EB124/B124_R6-en.pdf.
9. Nolte E, McKee M, Gilmore A. Morbidity and mortality in the transition countries of Europe.Population challenges and policy responses. New York, United Nations, 2005.http://www.unece.org/pau/_docs/pau/PAU_2005 _Publ_NDRCh 09.pdf.
10. Smits J, Monden C. Length of life inequality around the globe. Social Science and Medicine, 2009, 68: 1114-1123.
11. McKee M, Nolte E. Health sector reforms in central and eastern Europe: how well are health services responding to changing patterns of health? Demographic Research, 2004, Special collection 2, Article 7: 163-181.
12. Nolte E, McKee M. Does health care save lives? Avoidable mortality revisited. London, Nuffield Trust, 2004. http://www.nuffieldtrust.org.uk/ecomm /files/21404avoidablemortality2.pdf.
13. Bobak M, Marmot M. Societal transition and health. Lancet, 2009, 373: 360–363.
14. The European health report 2005. Public health action for healthier children and populations. Copenhagen, WHO Regional Office for Europe, 2005. http://www.euro.who.int/ehr 2005.
15. The world health report 2004. Changing history. Geneva, World Health Organization, 2004. http://www.who.int/whr/2004/en.

Previous Article
Reporting and Methodological Quality of Systematic Reviews and Meta-Analyses in Nursing Field in China

Chinese Journal of Evidence-Based Medicine

Analysis of Peasants’ Hospitalization Due to External Causes of Illness and Death in a County from 2009 to 2010

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content