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Disease Spectra of Inpatients from Foreign Countries and Those from Hong Kong and Taiwan in Peking Union Medical College Hospital from 2011 to 2013
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摘要:
目的 探讨北京协和医院外籍和中国香港、台湾地区住院患者人口统计学特征、疾病构成和临床特点。 方法 通过检索医院信息系统和复习住院病历, 回顾性收集、整理、分析2011年1月至2013年12月在北京协和医院国际医疗部住院的外籍和中国港台地区患者一般资料及临床资料。 结果 共纳入557例患者, 其中男性216例, 女性341例; 平均年龄45.5岁, 其中30~59岁患者居多, 共379例(68.0%)。患者来自于76个国家及中国香港和台湾地区, 来源前3位分别为美国(123例, 22.1%)、加拿大(66例, 11.8%)和澳大利亚(45例, 8.1%)。557例患者罹患247种疾病, 前3位疾病分别为妊娠、分娩和产褥期疾病(124例, 22.3%)、肿瘤(78例, 14.0%)、消化系统疾病(65例, 11.7%); 187例(33.6%)急诊入院。疑难及急重症患者103例(18.5%), 29例(5.2%)曾转入转出重症监护病房。557例患者平均住院时间7.1 d。281例(50.5%)经治疗后痊愈, 273例(49.0%)好转, 3例(0.5%)死亡。 结论 北京协和医院国际医疗部外籍及中国港台地区住院患者年龄跨度大、地域来源广泛、病种丰富、疑难急重症患者多, 除需要提供良好的就医环境、人性化的医疗服务和人文关怀外, 更需要医务人员具有流利的外语水平、全面丰富的临床经验、迅速识别危重患者的能力, 充分发挥多学科协作的优势, 提供高效、优质的涉外医疗服务。 Abstract:Objective To investigate the demographic characteristics, disease spectrum, and clinical features of inpatients from foreign countries and those from Hong Kong and Taiwan of China. Methods The general information and clinical data of foreign inpatients as well as inpatients from Hong Kong and Taiwan who had been admitted to the Department of International Medical Services at Peking Union Medical College Hospital from January 2011 to December 2013 were retrospectively collected and analyzed. Results A total of 557 patients were enrolled in this study. Among them there were 216 males and 341 females, with an average age of 45.5 years old.The age of 379 patients (68.0%) were between 30 and 59 years old. These 557 patients were from 76 countries and 2 regions of China (Hong Kong and Taiwan). The top three foreign countries were the United States (n=123, 22.1%), Canada (n=66, 11.8%), and Australia (n=45, 8.1%).Diseases during pregnancy, delivery, and puerperium (n=124, 22.3%), tumors(n=78, 14.0%), and digestive system diseases(n=65, 11.7%) were the top three causes of hospitalization. Of all these 557 patients, 187(33.6%) were admitted from emergency department, 103(18.5%) were severe or difficult cases, and 29(5.2%) were once transferred from or to intensive care unit. The average hospital stay was 7.1 days. On discharge, 50.5%(n=281) of these patients were cured, 49.0%(n=273) improved, and 0.5%(n=3) died. Conclusions Inpatients from foreign countries as well as Hong Kong and Taiwan admitted to the Department of International Medical Services at Peking Union Medical College Hospital have a large age span, big regional difference, broad spectra of diseases, and high proportions of severe and difficult diseases. Besides favorable hospitalization environment and patient-centered services, fluent communication in foreign languages, rich clinical experiences, ability to quickly identify severe cases, and coordination among different departments are also needed to offer high-quality and effective medical services for these patients. -
Key words:
- inpatients /
- foreign patients /
- spectrum of diseases
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表 1 557例外籍及中国港台地区住院患者性别和年龄构成
年龄段(岁) 例数 性别(男/女) 构成比(%) ＜20 15 9/ 6 2.7 20~29 59 14/45 10.6 30~39 143 21/122 25.7 40~49 129 48/81 23.2 50~59 107 61/46 19.2 60~69 64 36/28 11.5 ≥70 40 27/13 7.1 合计 557 216/341 100.0 
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表 2 557外籍和中国港台地区住院患者疾病构成
ICD疾病分类 例数 构成比(%) 妊娠、分娩和产褥期疾病 124 22.3 肿瘤 78 14.0 消化系统疾病 65 11.7 泌尿生殖系统疾病 60 10.8 影响健康状况和与保健结构接触的因素 56 10.1 循环系统疾病 51 9.2 损伤、中毒和外因的某些其他后果 30 5.4 呼吸系统疾病 23 4.1 某些传染病和寄生虫感染 19 3.4 内分泌、营养和代谢疾病 12 2.2 症状、体征和临床与实验异常所见 11 1.9 肌肉骨骼系统和结缔组织疾病 9 1.6 神经系统疾病 6 1.0 其他 13 2.3 合计 557 100 ICD：国际疾病分类
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