2015－2024年广西壮族自治区乙型肝炎患者流动就诊情况分析

宫晨; 黄精华; 韩姗珊; 唐洁霞; 陆华湘; 董爱虎

2015－2024年广西壮族自治区乙型肝炎患者流动就诊情况分析

Analysis on cross regional medical treatment seeking of hepatitis B patients in Guangxi Zhuang Autonomous Region, 2015-2024

摘要

摘要:
目的分析2015－2024年广西壮族自治区（广西）乙型肝炎（乙肝）患者流动就诊情况，为广西乙肝防控工作提供参考依据。
方法乙肝数据和医疗机构数据来源于中国疾病预防控制信息系统，应用R 4.5.2软件进行统计学分析。
结果广西乙肝患者本省就诊比例为96.37%，其中南宁市、桂林市、柳州市、梧州市的乙肝患者本市就诊率较高，分别为97.28%、96.54%、96.48%、96.04%，来宾市乙肝患者本市就诊率最低（63.03%）；乙肝患者省内跨市就诊比例为11.23%，其中南宁市、柳州市、梧州市、桂林市和钦州市的乙肝患者流入数大于流出数；跨市就诊选择三级医院比例（91.60%）高于本市患者三级医院就诊比例（61.49%），差异有统计学意义（χ²=28418.976，P<0.001）；跨市就诊选择综合医院比例（80.32%）高于本市患者综合医院就诊比例（72.20%），差异有统计学意义（χ²=2396.257，P<0.001）；广西乙肝患者省外就诊主要流入广东省，占省外就诊总数的83.19%。
结论广西乙肝患者省内跨市就诊主要流入南宁市、柳州市、梧州市、桂林市和钦州市，跨省就诊主要流入广东省，跨市、跨省就诊均以三级医院为主。

Abstract:
Objective To analyze the cross regional medical treatment seeking of hepatitis B patients in Guangxi Zhuang Autonomous Region（Guangxi） from 2015 to 2024, and provide evidence for hepatitis B prevention and control in Guangxi.
Methods The information of the hepatitis B cases the hospitals in Guangxi from 2015 to 2024 were collected from China Disease Prevention and Control Information System. Software R4.5.2 was used for data analysis.
Results In Guangxi, the proportion of hepatitis B patients seeking medical treatment in Guangxi was 96.37%. Specifically, the rates of patients receiving treatment in local were relatively high in Nanning (97.28%), Guilin (96.54%), Liuzhou (96.48%), and Wuzhou (96.04%), while the rate was lowest in Laibin (63.03%). The proportion of hepatitis B patients seeking medical treatment in other areas in Guangxi was 11.23%. The inflow of hepatitis B cases exceeded the outflow in Nanning, Liuzhou, Wuzhou, Guilin, and Qinzhou. The proportion of the hepatitis patients seeking medical treatment in grade III hospitals in other areas in Guangxi accounted for 91.60%, this proportion was higher than that of the patients choosing local grade III hospitals (61.49%), the difference was significant (χ²= 28418.976, P<0.001). Additionally, the proportion the patients seeking medical treatment in general hospitals in other areas accounted for 80.32%, but the proportion of the patients choosing local general hospitals was 72.20%, the difference was significant (χ²=2396.257, P<0.001). Guangdong was the main province where hepatitis B patients in Guangxi usually went to seek medical treatment, the patients who went to Guangdong for treatment accounted for 83.19% of the all patients seeking medical care in other provinces.
Conclusion Hepatitis B patients seeking medical care in other areas in Guangxi usually went to Nanning, Liuzhou, Wuzhou, Guilin, and Qinzhou. Guangdong was the main province where hepatitis B patients in Guangxi usually went to seek medical care. They usually went to grade III hospitals.

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