Cơ cấu bệnh của người bệnh tham gia bảo hiểm y tế đến khám chữa bệnh tại Bệnh viện Đa khoa Thanh Oai, Hà Nội, từ năm 2019-2023=Disease structure of patients participating in health insurance for medical examination and treatment at Thanh Oai General Hospital, Hanoi, from 2019 to 2023

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Tác giả: Văn Dũng Đào, Đình Dũng Nguyễn, Khả Kính Nguyễn, Văn Thao Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2024

Mô tả vật lý: tr.249-254

Bộ sưu tập: Metadata

ID: 242136

Thêm vào giỏ

Mô tả cơ cấu bệnh của người bệnh tham gia bảo hiểm y tế đến khám chữa bệnh tại Bệnh viện Đa khoa Thanh Oai, Hà Nội, từ năm 2019-2023. Phương pháp nghiên cứu: Phân tích số liệu thứ cấp dựa trên báo cáo thống kê hằng năm của bệnh viện. Kết quả: Hằng năm số người bệnh có thẻ bảo hiểm y tế đến khám chữa bệnh dao động từ 65.000-92.000 lượt người, được chẩn đoán theo danh mục ICD-10 gồm 24/25 chương bệnh (trừ bệnh lý xuất phát trong thời kỳ chu sinh). Trong đó, phân bố giảm dần theo tỷ lệ trung bình: bệnh nội tiết, dinh dưỡng và chuyển hóa (19,9%)
bệnh tuần hoàn (13,7%)
chương bệnh hô hấp (13,0%)
bệnh tiêu hóa (10,5%)
bệnh của hệ cơ xương khớp và mô liên kết là (9,3%)
bệnh nhiễm trùng và ký sinh trùng (7,3%). Tổng tỷ lệ của 10 bệnh này chiếm đến trên 50% lượt người bệnh, trong đó tăng huyết áp (17,4%) và sốt xuất huyết Dengue (10,4%) là 2 bệnh chiếm tỷ lệ cao nhất. Đa số các trường hợp vào khoa khám bệnh với tỷ lệ trung bình trong 5 năm khoảng 84,3%
có 5% người bệnh có nhu cầu vào khoa cấp cứu. Người bệnh tham gia bảo hiểm y tế chủ yếu do nhà nước đóng (37,4%), tham gia bảo hiểm y tế theo hộ gia đình ngày càng gia tăng và xếp thứ 2 (36,4%). Kết luận: Cơ cấu bệnh của người bệnh tham gia bảo hiểm y tế có nhiều đặc điểm giống cơ cấu bệnh của các nước đang phát triển (nhiễm trùng, hô hấp, tiêu hóa) song có sự dịch chuyển dần sang các bệnh không lây nhiễm và mang tính đặc trưng riêng của bệnh viện đa khoa tuyến huyện thuộc địa bàn Hà Nội.To describe the disease structure of patients participating in health insurance for medical examination and treatment at Thanh Oai General Hospital, Hanoi, from 2019 to 2023. Research methods: Secondary data analysis based on the hospital's annual statistical report. Results: Annually, the number of patients with health insurance cards ranged from 65,000 to 92,000, diagnosed according to the ICD-10 classification, covering 24 out of 25 chapters of diseases (excluding certain conditions originating in the perinatal period). The disease distribution, in decreasing order of average proportion, was as follows: endocrine, nutritional, and metabolic diseases (19.9%)
circulatory system diseases (13.7%)
respiratory system diseases (13.0%)
digestive system diseases (10.5%)
musculoskeletal system and connective tissue diseases (9.3%)
infectious and parasitic diseases (7.3%). The combined rate of these top 10 diseases accounted for over 50% of the total, with hypertension (17.4%) and Dengue fever (10.4%) being the two most prevalent. Most cases came to the hospital through the outpatient department, with an average rate of 84.3% over the 5 years
about 5% of patients required emergency department services. Most patients participating in health insurance were sponsored by the government (37.4%), followed by those enrolled through household insurance, which has been steadily increasing (36.4%). Conclusions: The disease structure of patients participating in health insurance shares many similarities with the disease structure of developing countries (infectious, respiratory, and digestive diseases), but there is a gradual shift towards non-communicable diseases, reflecting the unique characteristics of a district-level general hospital in Hanoi.

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