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Ambulatory medical care utilization estimates for 2007. 2007年流动医疗服务利用估计数。
Susan M Schappert, Elizabeth A Rechtsteiner

Objectives: This report presents statistics on ambulatory care visits to physician offices, hospital outpatient departments (OPDs), and hospital emergency departments (EDs) in the United States in 2007. Ambulatory medical care utilization is described in terms of patient, provider, and visit characteristics.

Methods: Data from the 2007 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey were combined to produce annual estimates of ambulatory medical care utilization.

Results: Patients in the United States made an estimated 1.2 billion visits to physician offices and hospital OPDs and EDs, a rate of 405.0 visits per 100 persons annually. This was not significantly different than the rate of 381.9 visits per 100 persons in 2006, neither were significant differences found in overall visit rates by age, sex, or geographic region. Visit distribution by ambulatory care setting differed by poverty level in the patient's ZIP Code of residence, with higher proportions of visits to hospital OPDs and EDs as poverty levels increased. Between 1997 and 2007, the age-adjusted visit rate increased by 11 percent, fueled mainly by a 29 percent increase in the visit rate to medical specialty offices. Nonillness and noninjury conditions, such as general and prenatal exams, accounted for the largest percentage of ambulatory care diagnoses in 2007, about 19 per 100 visits. Seven of 10 ambulatory care visits had at least one medication provided, prescribed, or continued in 2007, for a total of 2.7 billion drugs overall. These were not significantly different than 2006 figures. Analgesics were the most common therapeutic category, accounting for 13.1 drugs per 100 drugs reported, and were most often utilized at primary care and ED visits. The number of viral vaccines that were ordered or provided increased by 79 percent, from 33.2 million occurrences in 2006 to 59.3 million in 2007; significant increases were also noted for anticonvulsants and antiemetics.

目的:本报告介绍了2007年美国医生办公室、医院门诊部(OPDs)和医院急诊科(EDs)的门诊就诊统计数据。门诊医疗保健的利用是根据病人,提供者和访问特征来描述的。方法:结合2007年全国门诊医疗调查和全国医院门诊医疗调查的数据,得出门诊医疗利用的年度估计。结果:美国的患者估计有12亿次到医生办公室和医院的门诊和急诊科就诊,每100人每年有405.0次就诊。这与2006年每百人381.9次的比率并无显著差异,按年龄、性别或地理区域划分的整体访视率亦无显著差异。在患者居住的邮政编码中,门诊服务机构的就诊分布因贫困程度而异,随着贫困程度的增加,医院门诊和急诊科的就诊比例更高。1997年至2007年间,年龄调整后的就诊率增加了11%,主要是由于到医疗专业办公室的就诊率增加了29%。2007年,普通检查和产前检查等非疾病和非损伤状况占门诊诊断的最大比例,约为每100次就诊19次。2007年,每10次门诊就诊中就有7次至少有一种药物被提供、开出处方或继续使用,总共有27亿种药物。这些数据与2006年的数据没有显著差异。镇痛药是最常见的治疗类别,每100种药物中有13.1种被报告,并且最常用于初级保健和急诊科就诊。订购或提供的病毒疫苗数量增加了79%,从2006年的3320万次增加到2007年的5930万次;抗惊厥药和止吐药的使用也显著增加。
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引用次数: 0
National hospital discharge survey: 2006 annual summary. 全国出院调查:2006年年度总结。
Verita C Buie, Maria F Owings, Carol J DeFrances, Alexander Golosinskiy

Objectives-This report presents 2006 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, Ninth Revision, Clinical Modification codes. Methods-The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2006, data were collected for approximately 376,000 discharges. Of the 478 eligible nonfederal short-stay hospitals in the sample, 438 (92 percent) responded to the survey. Results-An estimated 34.9 million inpatients were discharged from nonfederal short-stay hospitals in 2006. These discharges used 166.3 million days of care and had an average length of stay of 4.8 days. In 2006, hospitals with under 100 beds accounted for 77 percent of inpatient discharges in nonmetropolitan areas, but only 13 percent of inpatient discharges in metropolitan areas. Forty-three percent of the total days of care were accounted for by persons age 65 and over, although this age group represented only 12 percent of the population. The rate of discharges with a first-listed diagnosis of stroke among persons age 65-74, 75-84, and 85 and over dropped significantly from 1996 to 2006. The leading diagnostic category was diseases of the circulatory system. Among the 8.7 million inpatient discharges age 45-64, 4.2 million (48 percent) had at least one surgical procedure.

目的:本报告介绍了2006年美国非联邦短期住院医院使用情况的全国估计数和选定的趋势数据。估算是根据选定的患者和医院特征、诊断以及所执行的手术和非手术程序提供的。诊断和程序的估计是根据国际疾病分类,第九次修订,临床修改代码提出的。方法-估计基于通过国家医院出院调查(NHDS)收集的数据。这项调查从1965年开始每年进行一次。2006年,收集了大约37.6万次排放的数据。在样本中478家符合条件的非联邦短期住院医院中,438家(92%)回应了调查。结果:2006年,估计有3490万住院病人从非联邦短期住院医院出院。这些出院使用了1.663亿天的护理,平均住院时间为4.8天。2006年,在非大都市地区,床位不足100张的医院占住院出院人数的77%,而在大都市地区,这一比例仅为13%。65岁及以上的人占护理总天数的43%,尽管这个年龄组只占人口的12%。从1996年到2006年,65-74岁、75-84岁和85岁及以上人群中首次诊断为中风的出院率显著下降。主要的诊断类别是循环系统疾病。在870万45-64岁的住院出院患者中,420万(48%)至少接受过一次外科手术。
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引用次数: 0
The National Nursing Home Survey: 2004 overview. 全国养老院调查:2004年概况。
Adrienne L Jones, Lisa L Dwyer, Anita R Bercovitz, Genevieve W Strahan

Objective: This report presents estimates for U.S. nursing homes, their current residents, and staff, based on results from the 2004 National Nursing Home Survey (NNHS). Facility data are summarized by facility characteristics and include new data items on special care units and programs, formal contracts with agencies and providers, end-of-life care programs, and electronic information systems. Current residents are presented by characteristics such as demographics, health and functional status, and services received, with new data items on advance directives, falls, use of restraints, hospitalizations, pain management, and medications. The discussion highlights key survey findings, including differences in selected national estimates between the 2004 NNHS and the 1999 survey.

Methods: The 2004 NNHS consisted of a two-stage design with a probability sample of 1,500 nursing facilities in the first stage and up to 12 current residents from each facility in the second stage. This nationally representative sample survey was conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics from August 2004 through January 2005.

Results: In 2004, an estimated 1.5 million current residents received nursing home care in 16,100 facilities, the majority of which were proprietary (61.5%) and were located in the Midwest and in the South. Most full-time equivalent employees of the facilities were nursing staff. Most current residents were aged 65 years and older (88.3%), female (71.2%), and white (85.5%). Nearly one-half (48.2%) of all residents were admitted from a hospital or health care facility other than a nursing home or assisted-living-type facility, and 65.3% of all residents had some kind of advance directive.

目的:本报告根据2004年全国养老院调查(NNHS)的结果,对美国养老院、现有居民和工作人员进行了估计。设施数据按设施特征汇总,包括特殊护理单位和项目、与机构和提供者的正式合同、临终关怀项目和电子信息系统的新数据项。现有居民的特征,如人口统计、健康和功能状态、接受的服务,以及关于预先指示、跌倒、使用约束、住院、疼痛管理和药物的新数据项目。讨论突出了主要的调查结果,包括2004年全国卫生保健体系与1999年调查之间选定的国家估计数的差异。方法:2004年全国养老服务体系采用两阶段设计,第一阶段选取1500家护理机构的概率样本,第二阶段选取每家机构的12名在校生。这项具有全国代表性的抽样调查是由疾病控制和预防中心的国家卫生统计中心从2004年8月到2005年1月进行的。结果:2004年,估计有150万现有居民在16,100家机构接受养老院护理,其中大多数是专有的(61.5%),位于中西部和南部。这些机构的大部分全职员工都是护理人员。目前大多数居民年龄在65岁及以上(88.3%),女性(71.2%)和白人(85.5%)。近一半(48.2%)的居民从医院或保健机构入院,而不是养老院或辅助生活机构,65.3%的居民有某种事先指示。
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引用次数: 0
Characteristics of office-based physicians and their medical practices: United States, 2005-2006. 办公室医生的特点及其医疗实践:美国,2005-2006年。
Esther Hing, Catharine W Burt

Objectives: This report describes average annual estimates of nonfederal, office-based physicians who saw patients in the United States during 2005-2006. The report also uses a multiplicity estimator from the physician sample to estimate the number and characteristics of medical practices with which physicians are associated. Selected physician estimates of characteristics obtained only in 2006 are also presented, as well as selected trends in physician practice characteristics between 2001-2002 and 2005-2006.

Methods: Data presented in this report were collected during the induction interview of physicians during the 2005 and 2006 National Ambulatory Medical Care Surveys (NAMCS). NAMCS is a national probability sample survey of nonfederal physicians who see patients in an office setting in the United States. Radiologists, anesthesiologists, and pathologists--as well as physicians who treat patients solely in hospital, institutional, and occupational settings--are excluded. Sample weights for physician data use information on the number of physicians in the sampled physician's practice to produce national estimates of medical practices.

Results: During 2005-2006, an average of 308,900 office-based physicians practiced in an estimated 163,800 medical practices in the United States. In 2005-2006, nearly 1 in 10 medical practices were multispecialty groups (8.9 percent) and accounted for 20.3 percent of all physicians. In 2006, 11.5 percent of medical practices employed at least one mid-level provider and about one-third of medical practices performed electrocardiogram (EKG/ECG) tests (33.5 percent) and lab tests (30.2 percent) onsite. Between 2001-2002 and 2005-2006, the percentage of physicians not accepting new Medicaid patients increased by 16 percent and the percentage not accepting new charity cases increased by 23 percent.

目的:本报告描述了2005-2006年期间美国非联邦办公室医生接诊病人的平均年度估计。该报告还使用了来自医生样本的多重估计器来估计与医生相关的医疗实践的数量和特征。本文还介绍了仅在2006年获得的选定医生的特征估计,以及2001-2002年和2005-2006年之间选定的医生实践特征趋势。方法:本报告所提供的数据收集于2005年和2006年全国门诊医疗调查(NAMCS)的医生入职访谈中。NAMCS是一项全国性的概率抽样调查,调查对象是非联邦医生,他们在美国的办公室里为病人看病。排除放射科医生、麻醉科医生和病理学家,以及仅在医院、机构和职业环境中治疗患者的医生。医生数据的样本权重使用抽样医生实践中医生数量的信息来产生医疗实践的全国估计。结果:在2005-2006年期间,美国平均有308,900名办公室医生在估计的163,800个医疗实践中执业。2005-2006年,近十分之一的医疗实践是多专业团体(8.9%),占所有医生的20.3%。2006年,11.5%的医疗机构雇用至少一名中级医务人员,约三分之一的医疗机构在现场进行心电图(33.5%)和实验室检查(30.2%)。在2001-2002年和2005-2006年期间,不接受新的医疗补助病人的医生比例增加了16%,不接受新的慈善病例的医生比例增加了23%。
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引用次数: 0
National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data. 全国出院调查:2005年年度总结,包含详细的诊断和手术数据。
Carol J DeFrances, Karen A Cullen, Lola Jean Kozak

Objectives: This report presents 2005 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, Ninth Revision, Clinical Modification codes.

Methods: The estimates are based on data collected through the National Hospital Discharge Survey. The survey has been conducted annually since 1965. In 2005, data were collected for approximately 375,000 discharges. Of the 473 eligible nonfederal short-stay hospitals in the sample, 444 (94 percent) responded to the survey.

Results: An estimated 34.7 million discharges from nonfederal short-stay hospitals occurred in 2005. Discharges used 165.9 million days of care and had an average length of stay of 4.8 days. Persons 65 years and over accounted for 38 percent of the hospital discharges and 44 percent of the days of care. The proportion of discharges whose status was described as routine discharge or discharged to the patient's home declined with age, from 91 percent for inpatients under 45 years of age to 41 percent for those 85 years and over. Hospitalization for malignant neoplasms decreased from 1990-2005. The hospitalization rate for asthma was the highest for children under 15 years of age and those 65 years of age and over. The rate was lowest for those 15-44 years of age. Thirty-eight percent of hospital discharges had no procedures performed, whereas 12 percent had four or more procedures performed. An episiotomy was performed during a majority of vaginal deliveries in 1980 (64 percent), but by 2005, it was performed during less than one of every five vaginal deliveries (19 percent).

目的:本报告介绍了2005年美国非联邦短期住院医院使用情况的全国估计数和选定的趋势数据。估算是根据选定的患者和医院特征、诊断以及所执行的手术和非手术程序提供的。诊断和程序的估计是根据国际疾病分类,第九版,临床修改代码提出的。方法:根据全国医院出院调查收集的数据进行估计。这项调查从1965年开始每年进行一次。2005年,收集了大约37.5万次排放的数据。在样本中473家符合条件的非联邦短期住院医院中,444家(94%)回应了调查。结果:2005年估计有3470万人从非联邦短期住院医院出院。出院时间为1.659亿天,平均住院时间为4.8天。65岁及以上的人占出院人数的38%,占护理天数的44%。出院状态被描述为常规出院或出院到患者家中的比例随着年龄的增长而下降,从45岁以下住院患者的91%下降到85岁及以上住院患者的41%。1990-2005年恶性肿瘤住院率下降。哮喘住院率最高的是15岁以下儿童和65岁及以上儿童。这一比例在15-44岁的人群中最低。38%的出院患者没有进行任何手术,而12%的患者进行了四次或更多的手术。1980年,大多数阴道分娩(64%)都进行了会阴切开术,但到2005年,在不到五分之一的阴道分娩(19%)中进行了会阴切开术。
{"title":"National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data.","authors":"Carol J DeFrances,&nbsp;Karen A Cullen,&nbsp;Lola Jean Kozak","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This report presents 2005 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, Ninth Revision, Clinical Modification codes.</p><p><strong>Methods: </strong>The estimates are based on data collected through the National Hospital Discharge Survey. The survey has been conducted annually since 1965. In 2005, data were collected for approximately 375,000 discharges. Of the 473 eligible nonfederal short-stay hospitals in the sample, 444 (94 percent) responded to the survey.</p><p><strong>Results: </strong>An estimated 34.7 million discharges from nonfederal short-stay hospitals occurred in 2005. Discharges used 165.9 million days of care and had an average length of stay of 4.8 days. Persons 65 years and over accounted for 38 percent of the hospital discharges and 44 percent of the days of care. The proportion of discharges whose status was described as routine discharge or discharged to the patient's home declined with age, from 91 percent for inpatients under 45 years of age to 41 percent for those 85 years and over. Hospitalization for malignant neoplasms decreased from 1990-2005. The hospitalization rate for asthma was the highest for children under 15 years of age and those 65 years of age and over. The rate was lowest for those 15-44 years of age. Thirty-eight percent of hospital discharges had no procedures performed, whereas 12 percent had four or more procedures performed. An episiotomy was performed during a majority of vaginal deliveries in 1980 (64 percent), but by 2005, it was performed during less than one of every five vaginal deliveries (19 percent).</p>","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 165","pages":"1-209"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27330202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of office-based physicians and their practices: United States, 2003-04. 2003- 2004年美国办公室医生的特点及其实践。
Esther Hing, Catharine W Burt

Objective: This report presents demographic and practice characteristics of nonfederal physicians who were primarily engaged in office-based patient care in the United States during 2003-04.

Methods: The data in this report were collected during the physician induction interview for the 2003 and 2004 National Ambulatory Medical Care Surveys (NAMCS). NAMCS includes a national probability sample of nonfederal office-based physicians who saw patients in an office setting. It excludes physicians in the specialties of anesthesiology, radiology, and pathology, as well as physicians practicing in hospitals, institutions, and occupational settings. Sample data were weighted to produce national estimates of the number of physicians and characteristics of their practices.

Results: During 2003-04, an average annual of 311,200 office-based physicians provided patient care in the United States, an overall rate of 108.4 physicians per 100,000 persons. Approximately three-fourths of office-based physicians owned or were part owner of their practice, two-thirds of physicians worked in group practices with two or more physicians, and one-half of office-based physicians were primary care specialists. Physicians with 10 or more managed care contracts spent less time per patient visit, but had more weekly visits compared with physicians with fewer than three managed care contracts. The average total weekly number of encounters (consults or visits) and the average number of office visits per physician were greater among primary care specialists compared with other specialty types. About one-fourth of physicians (25.5 percent), reported that they did not accept new Medicaid patients and 13.9 percent did not accept new Medicare patients-similar to previous years.

目的:本报告介绍了2003- 2004年期间美国主要从事办公室病人护理的非联邦医生的人口统计学和实践特征。方法:本报告的资料收集于2003年和2004年全国门诊医疗调查(NAMCS)的医师入职访谈中。NAMCS包括一个非联邦办公室医生在办公室看病的全国概率样本。它不包括麻醉学、放射学和病理学专业的医生,以及在医院、机构和职业环境中执业的医生。对样本数据进行加权,得出全国医生数量及其执业特征的估计。结果:在2003- 2004年期间,美国平均每年有311,200名办公室医生为患者提供护理,总比率为每10万人108.4名医生。大约四分之三的办公室医生拥有或部分拥有自己的诊所,三分之二的医生与两名或两名以上的医生合作,一半的办公室医生是初级保健专家。拥有10个或更多管理式医疗合同的医生在每个病人就诊上花费的时间更少,但与拥有少于3个管理式医疗合同的医生相比,每周就诊的时间更多。与其他专业类型相比,初级保健专家的平均每周总就诊次数(咨询或就诊)和每位医生的平均办公室就诊次数更多。大约四分之一(25.5%)的医生报告说,他们不接受新的医疗补助病人,13.9%的医生不接受新的医疗保险病人,与前几年相似。
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引用次数: 0
Medication therapy in ambulatory medical care: United States, 2003-04. 门诊医疗中的药物治疗:美国,2003- 2004年。
Saeid Raofi, Susan M Schappert

Objective: This report describes medication therapy at visits to physician offices, hospital outpatient departments, and emergency departments in the United States during 2003 and 2004. Office-based care is further subdivided into three categories-primary care, surgical specialties, and medical specialties.

Methods: Data from the 2003 and 2004 National Ambulatory Medical Care Surveys (NAMCS) and National Hospital Ambulatory Medical Care Surveys (NHAMCS) were combined to produce averaged annual estimates of ambulatory medical care utilization.

Results: An estimated 1.9 billion drugs per year were provided, prescribed, or continued at ambulatory care visits in the United States during 2003 and 2004. Two-thirds of the 1.1 billion ambulatory care visits per year included medication therapy. The rate was highest at visits to medical specialists (2.3 drugs per visit). The rate of drugs per visit increased with patient age in each ambulatory care setting. Cardiovascular-renal was the class of drugs most frequently cited at visits to primary care physicians and medical specialists. Pain relievers were the drugs reported most often at hospital emergency and outpatient department visits. Of the 50 drugs most frequently reported overall, three-quarters of them were accounted for by six therapeutic classes-pain relievers, cardiovascular-renal agents, respiratory tract drugs, central nervous system drugs (antianxiety agents and antidepressants), hormonal agents, and antimicrobials. Ibuprofen, aspirin, atorvastatin calcium, acetaminophen, and albuterol were the five most frequently reported medications. From 1993 to 2004, the number of drugs provided, prescribed, or continued per visit increased for all settings.

目的:本报告描述了2003年至2004年间美国医生办公室、医院门诊部和急诊科的药物治疗情况。以办公室为基础的护理进一步细分为三类:初级护理、外科专科和医学专科。方法:将2003年和2004年全国门诊医疗调查(NAMCS)和全国医院门诊医疗调查(NHAMCS)的数据结合起来,得出门诊医疗利用的平均年度估计。结果:在2003年和2004年期间,美国估计每年有19亿种药物在门诊就诊中被提供、开处方或继续使用。每年11亿次门诊就诊中有三分之二包括药物治疗。这一比率最高的是去看医学专家(每次2.3种药物)。每次就诊的药物使用率随着患者年龄的增加而增加。心血管肾类药物是初级保健医生和医学专家就诊时最常被提及的一类药物。在医院急诊和门诊就诊中,最常报告的药物是止痛药。在最常被报道的50种药物中,四分之三是6类治疗药物——止痛药、心血管肾脏药物、呼吸道药物、中枢神经系统药物(抗焦虑药和抗抑郁药)、激素药物和抗菌剂。布洛芬、阿司匹林、阿托伐他汀钙、对乙酰氨基酚和沙丁胺醇是五种最常被报道的药物。从1993年到2004年,每次就诊所提供、开出或继续使用的药物数量都有所增加。
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引用次数: 0
National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data. 全国出院调查:2004年年度总结,详细诊断和手术数据。
Lola Jean Kozak, Carol Jean DeFrances, Margaret Jean Hall

Objectives: This report presents 2004 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes.

Methods: The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2004, data were collected for approximately 371,000 discharges. Of the 476 eligible nonfederal short-stay hospitals in the sample, 439 (92 percent) responded to the survey.

Results: An estimated 34.9 million inpatients were discharged from nonfederal short-stay hospitals in 2004. They used 167.9 million days of care and had an average length of stay of 4.8 days. Hospital use by age ranged from 4.3 million days of care for patients 5-14 years of age to 31.8 million days of care for 75-84 year olds. Almost a third of patients 85 years and over were discharged from hospitals to long-term care institutions. Diseases of the circulatory system was the leading diagnostic category for males. Childbirth was the leading category for females, followed by circulatory diseases. The proportion of HIV discharges who were 40 years of age and over increased from 40 percent in 1995 to 67 percent in 2004. The rate of cardiac catheterizations was higher for males than for females and higher for patients 65-74 and 75-84 years of age than for older or younger groups. The average length of stay for both vaginal and cesarean deliveries decreased from 1980 through 1995 but stays for vaginal deliveries increased 24 percent during the period from 1995 to 2004.

目的:本报告介绍了2004年美国使用非联邦短期住院医院的全国估计数和选定的趋势数据。估算是根据选定的患者和医院特征、诊断以及所执行的手术和非手术程序提供的。根据国际疾病分类,第九次修订,临床修改(ICD-9-CM)代码提供诊断和程序估计。方法:根据全国医院出院调查(NHDS)收集的数据进行估计。这项调查从1965年开始每年进行一次。2004年,收集了大约371,000次排放的数据。在样本中476家符合条件的非联邦短期住院医院中,439家(92%)回应了调查。结果:2004年估计有3490万住院病人从非联邦短期住院医院出院。他们使用了1.679亿天的护理,平均住院时间为4.8天。按年龄划分的医院使用时间从5-14岁患者的430万天到75-84岁患者的3180万天不等。85岁及以上的病人中,几乎有三分之一从医院出院,转入长期护理机构。循环系统疾病是男性的主要诊断类别。分娩是女性的主要疾病,其次是循环系统疾病。40岁及以上的艾滋病毒感染者出院比例从1995年的40%上升到2004年的67%。男性的心导管插入率高于女性,65-74岁和75-84岁的患者的心导管插入率高于老年人或年轻人。从1980年到1995年,阴道分娩和剖宫产分娩的平均住院时间都有所减少,但从1995年到2004年,阴道分娩的住院时间增加了24%。
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引用次数: 0
Use of computerized medical records in home health and hospice agencies: United States, 2000. 家庭保健和临终关怀机构使用计算机化医疗记录:美国,2000年。
William S Pearson, Anita R Bercovitz

Objective: The use of information technology (IT), such as computerized medical records (CMR), has been proposed as a method for increasing the efficiency of delivered services, raising the level of the quality of care provided, and decreasing the number of medical errors. Research on IT and CMRs in health care has focused primarily on hospitals and physicians' offices, and there currently exists no nationally representative information for home health and hospice agencies. This report provides the first nationally representative estimates of the prevalence of CMR use in home health and hospice agencies in the United States in 2000.

Methods: Data are from the 2000 National Home and Hospice Care Survey. Data presented include estimates of home health and hospice agencies that are currently using or planning to use a CMR in the next year. CMR use is also presented by agency characteristics.

Results and conclusions: Approximately 32% of all agencies were using a CMR. Nearly one-third of home health agencies (32.1%), one-fifth of hospice agencies (18.6%), and two-fifths of mixed-type agencies (offering both services) (40.3%) reported using a CMR. Number of current active patients and provision of "high technology" services (e.g., respiratory, intravenous, or enterostomal therapy) were significantly associated with use of CMRs. While 23.0% of agencies with 50 or fewer patients reported use of a CMR, the proportion almost doubled to 44.8%, among agencies with 100 or more patients. Over one-third (34.8%) of agencies that provided high technology services reported using a CMR, compared with one-fifth (20.8%) of agencies that did not provide high technology services. No other agency characteristics were found to have a significant relationship with CMR use.

目的:已提出使用信息技术(IT),如计算机化医疗记录(CMR),作为提高所提供服务效率、提高所提供护理质量水平和减少医疗差错数量的一种方法。关于医疗保健中的信息技术和cmr的研究主要集中在医院和医生办公室,目前没有关于家庭保健和临终关怀机构的具有全国代表性的信息。本报告首次对2000年美国家庭健康和临终关怀机构使用CMR的流行率进行了具有全国代表性的估计。方法:数据来自2000年全国居家与临终关怀调查。所提供的数据包括目前正在使用或计划在明年使用CMR的家庭健康和临终关怀机构的估计。CMR的使用也表现为代理特征。结果和结论:大约32%的机构使用CMR。近三分之一的家庭保健机构(32.1%)、五分之一的临终关怀机构(18.6%)和五分之二的混合型机构(提供两种服务)(40.3%)报告使用CMR。当前活跃患者的数量和“高技术”服务(如呼吸、静脉或肠口治疗)的提供与cmr的使用显著相关。在拥有50名或更少患者的机构中,23.0%的机构报告使用了CMR,而在拥有100名或更多患者的机构中,这一比例几乎翻了一番,达到44.8%。超过三分之一(34.8%)的提供高科技服务的机构报告使用了CMR,相比之下,五分之一(20.8%)的不提供高科技服务的机构使用了CMR。没有发现其他机构特征与CMR使用有显著关系。
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引用次数: 0
National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data. 全国出院调查:2003年年度总结,包含详细的诊断和手术数据。
Lola Jean Kozak, Karen A Lees, Carol J DeFrances

Objectives: This report presents 2003 national estimates and trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes.

Methods: The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2003, data were collected for approximately 320,000 discharges. Of the 479 eligible non-Federal short-stay hospitals in the sample, 426 (89 percent) responded to the survey.

Results: An estimated 34.7 million inpatients were discharged from non-Federal short-stay hospitals in 2003. They used 167.3 million days of care and had an average length of stay of 4.8 days. Females used almost one-third more days of hospital care than males. Patients with five or more diagnoses rose from 29 percent of discharges in 1990 to 57 percent in 2003. The leading diagnostic category was respiratory diseases for children under 15 years, childbirth for 15-44 year olds, and circulatory diseases for patients 45 years of age and over. Only surgical procedures were performed for 27 percent of discharges, 18 percent had surgical and nonsurgical procedures, and 16 percent had only nonsurgical procedures. A total of 664,000 coronary angioplasties were performed, and stents were inserted during 86 percent of these procedures with drug-eluting stents used in 28 percent. The number and rate of total and primary cesarean deliveries rose from 1995 to 2003. The rate of vaginal birth after cesarean delivery dropped 58 percent, from 35.5 in 1995 to 14.8 in 2003.

目标:本报告介绍了2003年美国使用非联邦短期住院医院的全国估计数和趋势数据。估算是根据病人和医院的特点、诊断、手术和非手术程序进行的。根据国际疾病分类,第九次修订,临床修改(ICD-9-CM)代码提供诊断和程序估计。方法:根据全国医院出院调查(NHDS)收集的数据进行估计。这项调查从1965年开始每年进行一次。2003年,收集了大约32万次排放的数据。在样本中479家符合条件的非联邦短期住院医院中,426家(89%)回应了调查。结果:2003年,估计有3470万住院病人从非联邦短期住院医院出院。他们使用了1.673亿天的护理,平均住院时间为4.8天。女性接受医院护理的天数几乎比男性多三分之一。被诊断出五种或五种以上疾病的患者从1990年的29%上升到2003年的57%。主要的诊断类别是15岁以下儿童的呼吸系统疾病、15-44岁儿童的分娩疾病和45岁及以上患者的循环系统疾病。27%的出院患者只接受了手术治疗,18%的患者同时接受了手术和非手术治疗,16%的患者只接受了非手术治疗。总共进行了66.4万例冠状动脉血管成形术,其中86%的手术植入了支架,28%的手术使用了药物洗脱支架。从1995年到2003年,总剖宫产和初次剖宫产的数量和比率有所上升。剖宫产后的顺产率下降了58%,从1995年的35.5%下降到2003年的14.8%。
{"title":"National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data.","authors":"Lola Jean Kozak,&nbsp;Karen A Lees,&nbsp;Carol J DeFrances","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>This report presents 2003 national estimates and trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes.</p><p><strong>Methods: </strong>The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2003, data were collected for approximately 320,000 discharges. Of the 479 eligible non-Federal short-stay hospitals in the sample, 426 (89 percent) responded to the survey.</p><p><strong>Results: </strong>An estimated 34.7 million inpatients were discharged from non-Federal short-stay hospitals in 2003. They used 167.3 million days of care and had an average length of stay of 4.8 days. Females used almost one-third more days of hospital care than males. Patients with five or more diagnoses rose from 29 percent of discharges in 1990 to 57 percent in 2003. The leading diagnostic category was respiratory diseases for children under 15 years, childbirth for 15-44 year olds, and circulatory diseases for patients 45 years of age and over. Only surgical procedures were performed for 27 percent of discharges, 18 percent had surgical and nonsurgical procedures, and 16 percent had only nonsurgical procedures. A total of 664,000 coronary angioplasties were performed, and stents were inserted during 86 percent of these procedures with drug-eluting stents used in 28 percent. The number and rate of total and primary cesarean deliveries rose from 1995 to 2003. The rate of vaginal birth after cesarean delivery dropped 58 percent, from 35.5 in 1995 to 14.8 in 2003.</p>","PeriodicalId":76809,"journal":{"name":"Vital and health statistics. Series 13, Data from the National Health Survey","volume":" 160","pages":"1-206"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26084606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Vital and health statistics. Series 13, Data from the National Health Survey
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