The main morbid pattern in Muong La district of Son La province was respiratory tract infections, influenza, malaria and diarrhoea. For under 5 years old children, it was acute respiratory tract infections. 54.5% of the population had used the health services at communal health station. The main cause made people do not use the communal health station was the mild severity of disease (80.4%). Antibiotics were used at the communal health station with a high percentage (75.5%).
Morbidity ; Delivery of Health Care ; Health

An inquiry by interview was conducted on Thanh Luong ward, Hai Ba Trung district and on Xuan Dinh commune, Tu Liem district in Hanoi, concerning the morbidity and the use of medical services for elderly. The inquiry showed a high incidence of morbidity (acute and chronical) with the common disease such as mainly arthrose, respiratory diseases, neurological diseases. Most of the elderly preferred the care at home, at private medical workers. There was a difference between urban and rural area in the morbid pattern and the use of medical services
Morbidity ; Delivery of Health Care/morbidity ; Aged ; Epidemiology

The purpose of this study is to demonstrate the usefulness of the computer-based quality assurance (QA) system for achieving a quality-cost trade-off and to demonstrate the validity of the Medical illness Severity Grouping System (MEDISGRPS) for hospital quality assurance. MEDISGRPS stratifies hospital admissions into severity groups according to key clinical findings, a series of laboratory, pathology, radiology, and physical exam results that indicate an abnormal situation. All 16,428 patients admitted to a large teaching hospital during a nine month period were included in the study. The statistical validity of MEDlSGRPS is demonstrated by the direct positive corelation between admission severity and in-hospital mortality and 10th day morbidity rates, as well as between admission severity and total charges, ancillary charges, and length of stay. Empirical examples show how the computer-based QA system provides the information base to establish effectiveness, efficiency, and appropriateness standards, and to identify situations where these standards are not met. The system accurately describes medical practice pattern variations and provides the basis for hospitals to define standards and perform quality assurance.
Analysis of Variance ; Computers* ; Costs and Cost Analysis ; Delivery of Health Care/standards ; Evaluation Studies ; Human ; Morbidity ; Quality Assurance, Health Care* ; Quality Control ; Severity of Illness Index