Clinical profiles of hospital discharge rates in local communities.
Clinical profiles of hospital discharge rates in local communities.
复制标题
当地社区出院率的临床概况。
作者：
J. Griffith;P. Wilson;R. Wolfe;D. Bischak
作者使用1980年密歇根下半岛900万居民住院治疗的综合数据，先前证明了当地社区的出院率相差2比1。本文旨在确定高使用社区与低使用社区之间的临床特征差异。研究了主要临床活动组（如心血管疾病、频繁诊断、罕见诊断、短期和长期诊断、某些外科手术和诊断分类系统的主要器官组）基于人群的出院率和总出院百分比。虽然高使用社区倾向于承认比例较少的手术病例和比例较多的非手术病例，但很少有其他这样的模式可以证明。
Using comprehensive 1980 data for hospitalization of the 9 million citizens of Michigan's lower peninsula, the authors have previously demonstrated that the discharge rates of local communities differ by a range of 2 to 1. This article seeks to identify differences in the clinical profile of high-use compared to low-use communities. Population-based rates and percentages of total discharges were studied for major clinical activity groups, such as cardiovascular disease, frequent diagnoses, rarely occurring diagnoses, short- and long-stay diagnoses, certain surgical procedures, and major organ groups of the diagnostic classification system. Although high-use communities tend to admit proportionately fewer surgical cases and proportionately more nonsurgical cases, few other such patterns could be demonstrated.