WANGLi , LICui-cui , LIYou-ping , SHICheng-hu , YANGZong-xia , WANGYing-qiang , SHENJian-tong , LIXiao
  • Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;
LIYou-ping, Email: yzmylab@hotmail.com
Burden of disease; Xinjin county; ICD-10; Single disease; Cross-sectional survey
10.7507/1672-2531.20140024
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Objective To investigate the burden of disease in Xinjin county of Chengdu city from 2009 to 2010. so as to provide baseline data for the study on the healthcare service system. Methods The prevalence of diseases among outpatients and inpatients in Xinjin county was collected and then analyzed using Microsoft Excel 2003 and SPSS 13.0 software. Results a) The numbers of out-patient and in-patients with the top 20 diseases had been increased by 106.8% and 43.2%, respectively in 2010 than those in 2009. According to International Statistical Classification of Diseases (ICD)-10, the diagnosis of the diseases involved in 11 types of diseases among outpatients. For out-patients, the top 3 categories were diseases of respiratory, digestive systems and injury, poisoning and certain other consequences of external causes, accounting for 85.06% and 82.69% of total diseases in 2009 and 2010, respectively. Among them, upper respiratory infections, acute bronchitis and superficial injury cumulatively accounted for 61.61% in 2009 and 59.53% in 2010. b) The diagnosis of the diseases involved in 12 types of diseases among in-patients. For in-patients, the top 4 categories were diseases of the respiratory system, pregnancy, disease during childbirth and puerperium, digestive and the circulatory systems. Among them, the diseases of the respiratory system accounted for 53.55% and 50.82% in 2009 and 2010, respectively. The top 4 diseases among in-patients were acute bronchitis, chronic bronchitis, COPD, and acute gastritis, accounting for 48.12% and 49.54% cumulatively in 2009 and 2010. Meanwhile, the prevalence of hypertension and diabetes increased dramatically into the top 10 diseases. c) The acute diseases were mainly distributed in township hospitals, while the chronic diseases were mainly distributed in county-level hospitals. Conclusion The major burden of diseases is the diseases of the respiratory, digestive and circulatory diseases in Xinjin county of Chengdu city from 2009 to 2010. The chronic diseases are mainly distributed in county-level hospitals, while the acute diseases are mainly distributed in township hospitals or community healthcare centres. The common diseases are relatively stable which provide better conditions for the selection and use of the essential medical services and essential medicine list.

Citation： WANGLi, LICui-cui, LIYou-ping, SHICheng-hu, YANGZong-xia, WANGYing-qiang, SHENJian-tong, LIXiao. Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅳ. Survey on Out-patient and In-patient Disease Composition of Different Levels of Hospitals. Chinese Journal of Evidence-Based Medicine, 2014, 14(2): 140-146. doi: 10.7507/1672-2531.20140024 Copy