Disease spectrum referred from community health service centers among regional cooperative healthcare system in Shanghai Yangpu district
10.3760/cma.j.cn114798-20211223-00943
- VernacularTitle:上海市杨浦区基于社区上转人群分析的区域卫生协同转诊疾病谱研究
- Author:
Xiaoxiao SHI
1
;
Jianwei SHI
;
Hua JIN
;
Qianqian ZHANG
;
Dehua YU
Author Information
1. 同济大学附属杨浦医院全科医学科 上海市全科医学与社区卫生发展研究中心，上海 200090
- Keywords:
Patient transfer;
Regional healthcare cCollaboration;
Hierarchical medical system;
Disease spectrum
- From:
Chinese Journal of General Practitioners
2022;21(9):847-852
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the disease spectrum referred from the community health service centers to the district tertiary hospital in the region.Method:The data of the referred patients from the community health service centers to Shanghai Yangpu District Hospital-a tertiary hospital in the region from January 2016 to December 2019 were collected. The composition and characteristics of the disease spectrum of the referred patients were analyzed.Results:The number of patient visits to the community health service centers in the region was increased from 4 684 938 in 2016 to 4 776 921 in 2019. The number of patient referral from the community centers to Yangpu Hospital was increased from 3 125 in 2016 to 6 853 in 2019. There were total 18 308 patients referred in 4 years, including 8 012 males (43.8%) and 10 296 females (56.2%). The age range of referred patients was from 1 to 99 years, including 53 referred patients aged ≤ 18 (0.3%), 927 aged 19-39 (5.1%), 2 831 aged 40-59 (15.5%), 4 424 aged 60-79 (62.2%) and 1 209 aged ≥ 80 (17%). The top five systems of diseases, which accounted more than 60% of total diseases, were circulatory system, endocrine nutrition and metabolic system, urogenital system, eye and appendage, and digestive system. Compared with male patients, more female patients with urogenital diseases were referred.Conclusion:The referral rate of community health service centers were increased from 2016 to 2019. The referred patients cover all age groups, more frequently in age group 60-79. The diseases of referred patients cover all system, and are different between males and females.
