Geographic Distribution and Medical Payment Model for 591 Children with Congenital Heart Disease Hospitalized in Children's Hospital of Gansu Province: A Cross-Sectional Survey_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHANGFeng ¹ ,  HUXiao-bin ¹ , YANGYi-nan ² , DONGXiang-yu ² , HEShi-jiao ¹ , WANGYu-bin ¹ , HUYang ¹

1. Department of Epidemiology and Biostatistics, School of Public Health, Lanzhou University, Lanzhou 730000, China;
2. Department of the Second Internal Pediatrics, The Second Affiliated Hospital of Lanzhou University, Lanzhou 730030, China;

Corresponding author：

HUXiao-bin, Email: huxiaobin@lzu.edu.com

Keywords：

Congenital heart disease (CHD); Child; Regional distribution; Medical payment model; Gansu; Crosssectional survey

DOI：

10.7507/1672-2531.20140030

Video：

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Objective To survey and analyze the trend of congenital heart disease (CHD) of regions distribution and medical payment model in Children's Hospital of Gansu Province over the past 11 years, and to provide evidence for diagnosis and treatment strategies for CHD children. Methods Medical records of the CHD children hospitalized in the Children's Hospital of Gansu Province from 2001 to 2011 were completely collected. Regional distribution, year and other basic information of them were extracted. Data was then analyzed using the SPSS 16.0 software. Results A total of 591 CHD children were included. Most of them came from Middle-Long, accounting for 68.87%; while the number of CHD children in the region of East-Long and He-xi had a tendency of growth by year, with average growth speed of 189.42% and 27.62%, respectively. Most of them came from the region which is economic class Ⅲ, accounting for 35.64% (highest) with average growth speed (203.45%). Most of the treatment costs were self-supported before 2005, and health insurance and other social aids were consistently increasing after 2005. Most of the institutions for initial visit were town-level hospitals, accounting for 55.50%, and with average growth speed of 170.18%. Conclusion The medical demand of CHD children in less-developed regions in Gansu province increases year by year. Government-guided healthcare system should be established and improved so as to basically guarantee the prevention and treatment of CHD in less-developed regions.

Citation： ZHANGFeng, HUXiao-bin, YANGYi-nan, DONGXiang-yu, HEShi-jiao, WANGYu-bin, HUYang. Geographic Distribution and Medical Payment Model for 591 Children with Congenital Heart Disease Hospitalized in Children's Hospital of Gansu Province: A Cross-Sectional Survey. Chinese Journal of Evidence-Based Medicine, 2014, 14(2): 169-173. doi: 10.7507/1672-2531.20140030 Copy

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21.	李桂香.新时期县级产科医师面临的挑战.甘肃医药, 2011, 30(7):435-436.

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2. 陈竺. 2011年中国出生缺陷防治报告.北京:中华人民共和国卫生部, 2012.
3. 陈英耀, 张洁, 李军, 等.先天性心脏病所致无形负担的定性研究.中华医院管理杂志, 2007, 23(11):749.
4. Goldmuntz E. The epidemiology and genetics of congenital heart disease. Clin Perinatol, 2001, 28(1):1-10.
5. Hofman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol, 2002, 39(12):1890-1900.
6. 刘凯波, 潘迎, 李红梅, 等.北京市10年围产儿先天性心脏病资料分析.中国优生与遗传杂志, 2008, 16(3):100-101.
7. 袁雪, 王惠珊, 闫淑娟, 等. 10665名儿童先天性心脏病发病状况监测结果和环境危险因素分析.中国妇幼保健, 2006, 21(6):781-782.
8. 第23届长城国际心脏病学会议专题.中国先心病10年间发病率增加2.56倍.中国心血管病研究杂志, 2012, 10(12):946-946.
9. 高秉仁, 岳凤珍.甘肃省六地市先天性心脏病流行病学调查研究.中国循环杂志, 2000, 15(5):298-299.
10. 甘肃年鉴编委会.甘肃发展年鉴2012.北京:中国统计出版社, 2012.
11. 甘肃省人民政府.关于发布《甘肃省最低工资暂行规定》的通知(甘政发[1996] 104号).甘肃:甘肃省人民政府, 1996.
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13. 陈秋红, 王晓勤, 等.青海省黄南藏族自治州四区县4-17岁人群先天性心脏病的流行病学调查.中华心血管杂志, 2008, 6(3):170-172.
14. 张胜林, 王东良, 李小唐, 等.兰州亚高原国际马拉松比赛条件分析.辽宁体育科技, 2012, 34(2):23-26.
15. 肖占文.河西冷凉灌区马铃薯"三改、四精"优化栽培技术.作物杂志, 2004(1):43.
16. 李成, 李全胜, 王跃招.陇南两栖爬行动物区系β多样性及其起源.动物学研究, 2000, 21(4):330-333.
17. 袁爱玲.陇东旱塬雨养农业区冬小麦高产栽培技术途径.农业科技与信息, 2005, (5):10.
18. 陈永聪, 韩雪梅, 白飞, 等.甘肃省三级医院2010年卫生资源及运情况分析.中国医院管理, 2012, 32(11):13-14.
19. 赵文静, 吕晖, 刘旭东, 等.甘肃省卫生资源配置状况综合评价研究.医学与社会, 2011, 24(2):7-9.
20. 齐明珠, 童玉芬.北京市区县问医疗资源配置的人口公平性研究.北京社会科学, 2010, (5):27-33.
21. 李桂香.新时期县级产科医师面临的挑战.甘肃医药, 2011, 30(7):435-436.

Chinese Journal of Evidence-Based Medicine

Geographic Distribution and Medical Payment Model for 591 Children with Congenital Heart Disease Hospitalized in Children's Hospital of Gansu Province: A Cross-Sectional Survey

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