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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

1.	王朝暉.兒童護理.北京:高等教育出版社, 2005:143.
2.	陳竺. 2011年中國出生缺陷防治報告.北京:中華人民共和國衛生部, 2012.
3.	陳英耀, 張潔, 李軍, 等.先天性心臟病所致無形負擔的定性研究.中華醫院管理雜志, 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.	劉凱波, 潘迎, 李紅梅, 等.北京市10年圍產兒先天性心臟病資料分析.中國優生與遺傳雜志, 2008, 16(3):100-101.
7.	袁雪, 王惠珊, 閆淑娟, 等. 10665名兒童先天性心臟病發病狀況監測結果和環境危險因素分析.中國婦幼保健, 2006, 21(6):781-782.
8.	第23屆長城國際心臟病學會議專題.中國先心病10年間發病率增加2.56倍.中國心血管病研究雜志, 2012, 10(12):946-946.
9.	高秉仁, 岳鳳珍.甘肅省六地市先天性心臟病流行病學調查研究.中國循環雜志, 2000, 15(5):298-299.
10.	甘肅年鑒編委會.甘肅發展年鑒2012.北京:中國統計出版社, 2012.
11.	甘肅省人民政府.關于發布《甘肅省最低工資暫行規定》的通知(甘政發[1996] 104號).甘肅:甘肅省人民政府, 1996.
12.	衛生部心血管病防治研究中心.中國心血管報告(2005).北京:中國大百科全書出版社, 2005:103-106.
13.	陳秋紅, 王曉勤, 等.青海省黃南藏族自治州四區縣4-17歲人群先天性心臟病的流行病學調查.中華心血管雜志, 2008, 6(3):170-172.
14.	張勝林, 王東良, 李小唐, 等.蘭州亞高原國際馬拉松比賽條件分析.遼寧體育科技, 2012, 34(2):23-26.
15.	肖占文.河西冷涼灌區馬鈴薯"三改、四精"優化栽培技術.作物雜志, 2004(1):43.
16.	李成, 李全勝, 王躍招.隴南兩棲爬行動物區系β多樣性及其起源.動物學研究, 2000, 21(4):330-333.
17.	袁愛玲.隴東旱塬雨養農業區冬小麥高產栽培技術途徑.農業科技與信息, 2005, (5):10.
18.	陳永聰, 韓雪梅, 白飛, 等.甘肅省三級醫院2010年衛生資源及運情況分析.中國醫院管理, 2012, 32(11):13-14.
19.	趙文靜, 呂暉, 劉旭東, 等.甘肅省衛生資源配置狀況綜合評價研究.醫學與社會, 2011, 24(2):7-9.
20.	齊明珠, 童玉芬.北京市區縣問醫療資源配置的人口公平性研究.北京社會科學, 2010, (5):27-33.
21.	李桂香.新時期縣級產科醫師面臨的挑戰.甘肅醫藥, 2011, 30(7):435-436.

1. 王朝暉.兒童護理.北京:高等教育出版社, 2005:143.
2. 陳竺. 2011年中國出生缺陷防治報告.北京:中華人民共和國衛生部, 2012.
3. 陳英耀, 張潔, 李軍, 等.先天性心臟病所致無形負擔的定性研究.中華醫院管理雜志, 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. 劉凱波, 潘迎, 李紅梅, 等.北京市10年圍產兒先天性心臟病資料分析.中國優生與遺傳雜志, 2008, 16(3):100-101.
7. 袁雪, 王惠珊, 閆淑娟, 等. 10665名兒童先天性心臟病發病狀況監測結果和環境危險因素分析.中國婦幼保健, 2006, 21(6):781-782.
8. 第23屆長城國際心臟病學會議專題.中國先心病10年間發病率增加2.56倍.中國心血管病研究雜志, 2012, 10(12):946-946.
9. 高秉仁, 岳鳳珍.甘肅省六地市先天性心臟病流行病學調查研究.中國循環雜志, 2000, 15(5):298-299.
10. 甘肅年鑒編委會.甘肅發展年鑒2012.北京:中國統計出版社, 2012.
11. 甘肅省人民政府.關于發布《甘肅省最低工資暫行規定》的通知(甘政發[1996] 104號).甘肅:甘肅省人民政府, 1996.
12. 衛生部心血管病防治研究中心.中國心血管報告(2005).北京:中國大百科全書出版社, 2005:103-106.
13. 陳秋紅, 王曉勤, 等.青海省黃南藏族自治州四區縣4-17歲人群先天性心臟病的流行病學調查.中華心血管雜志, 2008, 6(3):170-172.
14. 張勝林, 王東良, 李小唐, 等.蘭州亞高原國際馬拉松比賽條件分析.遼寧體育科技, 2012, 34(2):23-26.
15. 肖占文.河西冷涼灌區馬鈴薯"三改、四精"優化栽培技術.作物雜志, 2004(1):43.
16. 李成, 李全勝, 王躍招.隴南兩棲爬行動物區系β多樣性及其起源.動物學研究, 2000, 21(4):330-333.
17. 袁愛玲.隴東旱塬雨養農業區冬小麥高產栽培技術途徑.農業科技與信息, 2005, (5):10.
18. 陳永聰, 韓雪梅, 白飛, 等.甘肅省三級醫院2010年衛生資源及運情況分析.中國醫院管理, 2012, 32(11):13-14.
19. 趙文靜, 呂暉, 劉旭東, 等.甘肅省衛生資源配置狀況綜合評價研究.醫學與社會, 2011, 24(2):7-9.
20. 齊明珠, 童玉芬.北京市區縣問醫療資源配置的人口公平性研究.北京社會科學, 2010, (5):27-33.
21. 李桂香.新時期縣級產科醫師面臨的挑戰.甘肅醫藥, 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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content