Objective To analyze data for 1950 injured patients in the People’s Hospital of Deyang City following the Wenchuan earthquake, to provide relavent evidence to inform future decision-making in relation to establishing and improving frontline hospitals in disaster areas. Methods The basic situation of the wounded inpatients and the total situation of medical rescue were analyzed with data provided by the Department of Information at the hospital from May 12th to July 12th 2008. Microsoft EXCEL was used for data input and SPSS 11.0 was used for statistical analysis. Results By July 12th, a total of 1950 injured patients and 1378 inpatients had been treated in the hospital. Most inpatients were treated during the first week after the earthquake (about 65.6%), with the number of the inpatients reaching a peak of 703 on the first day, May 12th. The majority of the wounded inpatients were from the Mianzhu, Shifang and Jingyang districts of Deyang city. The diagnosis on admission included fracture (45.9%), craniocerebral injury (20.9%) and thoracoabdominal injury (14.7%). There were 48 deaths including 30 pre-hospital deaths, 10 emergency deaths and 8 inpatient deaths. There were 441 patients who were transported and transferred to the 2nd and 3rd hospitals from the People’s Hospital of Deyang City, which was the first hospital to organize the large-scale transporting of patients in the whole province. There were 1378 inpatients from the disaster area and 726 healthcare workers were sent to the disaster area to provide medical rescue. Psychological treatment was provided to more than 5000 inpatients, inhabitants, healthcare workers and army members. Conclusion The People’s Hospital of Deyang City successfully has accomplished a difficult task as the hospital nearest to the disaster area and played an important role during emergency medical rescue.
Objective To provide the evidence for anti-epidemic command and developing response plan through investigation on prophlactical disinfection in Deyang, the worst-hit areas after Wenchuan earthquake. Methods We used convenient sampling together with the report forms and the self-made questionnaire to collect information from 107 villages and 17 settlement spots for the disaster victims in 25 towns in Deyang disaster area. Results There were a total of 6 kinds of disinfectant, including the chlorine disinfectant, 2 kinds of peroxide disinfectant and 2 other types of disinfectant, which were delivered the Deyang disaster area through the National amp; Province CDC system allocation or the None-Goverment Organization donation. From May 17 to June 9, the large-scale preventive disinfection was carried out in the disaster area, covering tap water, the restroom and the latrine pit, trash, environment and sewage. All personnel who conducted the disinfection for prevention and public health in the villages and towns received the technical training for disinfection. Conclusion Various disinfectant types and difference specifications cause trouble in the training of manpower and the use of disinfectant. Preventive disinfection in the most serious disaster areas is better than in serious disaster areas. The main channel of obtaining the disinfectant is through the National amp; Province CDC. The daily-report system of the disinfected areas may monitor the progress of disinfectant use. The suitable disinfection may prevent the public health secondary disaster and protect the environment effectively.
Objective To analyze the outcome of patients with Blunt Abdominal Injury (BAI) in the Deyang People’s Hospital after the Wenchuan Earthquake, in order to provide evidence for future improvement in emergency response after earthquakes and in the treatment of BAI patients. Methods Data on the BAI patients within 1 week after the earthquake were collected from the Information Department of the Hospital. Microsoft EXCEL was used for data input. Results A total of 23 BAI inpatients were treated, of whom 15 were from Mianzhu City and sent to hospital within 12 hours of the earthquake. This was 1.9% of the total inpatients. The BAI inpatients suffered severe and complex injuries, and 5 of them died (mortality rate: 22%). Linenectomy was conducted for patients with spleen injuries and two inpatients developed incision infection due to lack of antibiotics during the perioperative period. Conclusions It is important to establish an emergency response mechanism for medical rescue for patients with the viscera injury, including BAI, after an earthquake. This would help to guarantee rational allocation of the rescue workers, triage of the wounded, optimization of operation, as well as a reduction in mortality from BAI.
Objective To analyze the changing trends of economic operation indicators in public hospitals in Deyang City, explore the root causes of increasing operational pressure, and propose targeted countermeasures and suggestions. Methods Based on the annual health financial reports of 23 public hospitals in Deyang City from 2016 to 2024, the Joinpoint regression model was used to analyze the time-series trends of 20 economic operation indicators (covering four dimensions: revenue, operational efficiency, cost control and surplus capacity, and debt-paying ability). The annual percent change (APC) was calculated, and important turning points were identified. Meanwhile, a root cause analysis team was established. Fishbone diagram was used to analyze proximal causes from five aspects (man, machine, material, method, and environment), and the “5WHY method” was applied to trace the root causes. Results Among the 20 indicators, 6 showed significant changing trends. Total medical revenue continued to grow, but the growth rate slowed markedly after 2019 (P=0.035, APC decreased from 10.66 to 4.58). The average length of stay for discharged patients showed a trend of first increasing and then decreasing, with 2020 as the turning point (P<0.001, APC changed from 2.42 to ?4.79). The average medical cost per discharged patient shifted from growth to decline in 2020 (P<0.001, APC changed from 9.34 to ?4.57). Total medical activity costs continued to grow, and although the growth rate slowed after 2019 (P=0.027, APC decreased from 11.35 to 5.30), it remained higher than that of total medical revenue. The proportion of personnel expenses continued to grow, tending to flatten after 2018 (P=0.019, APC decreased from 3.91 to 0.79). Health materials consumed per 100 yuan of medical revenue first increased and then decreased, with 2022 as the turning point (P=0.008, APC changed from 1.90 to ?5.44). Root cause analysis showed that the root causes of increasing operational pressure were lack of overall planning for regional healthcare institutions, inadequate internal management level of medical institutions, revenue pressure brought by medical insurance fund management and payment reform, and defects in the medical service price adjustment mechanism that failed to fully reflect true value. Conclusion It is recommended that health authorities strengthen regional overall planning and functional positioning of medical institutions, medical institutions promote refined management and disease-based cost control, medical insurance departments improve the coordinated use and settlement mechanisms of insurance funds, and incorporate cost factors into the pricing mechanism and improve the dynamic adjustment mechanism.