MÔ HÌNH BỆNH NGOẠI KHOA TẠI BỆNH VIỆN TUYẾN TỈNH, HUYỆN THEO CÁC VÙNG SINH THÁI VIỆT NAM

Abstract

Backgrounds and objectives: The disease pattern of a country or a community is a reflection of the health status, socio-economic situation. The study aims to describe the disease pattern of common surgical diseases at provincial and district hospitals in ecological regions of Vietnam. Materials and methods: A cross-sectional study was implemented in 7 provinces/cities including 28 hospitals. We retrospectively assessed the health statistics and data of these hospitals. Results: In three years (2018-2020), the average number of visits for examination and treatment at the provincial and districts hospitals were 100,000 and 25,000 times/year, respectively. The number of referrals of district hospitals is higher than that of provincial hospitals (7% vs. 3%). The most common diseases were traumatic brain injury (9.9%); appendicitis and its complications (6.4%); urinary stones (8%); benign prostatic hyperplasia (3.8%). These diseases were recorded at 28 provincial hospitals, and 2 district hospitals, and were the most common in 3 ecological regions, namely the Central Highlands, the Southeast and the Mekong Delta. Rectal cancer, lung tumor (5.2%, 6.3%). traumatic brain injury, spinal injury (3.9%, 2.9%) had the highest referral rate. Conclusions: The most common surgical diseases were traumatic brain injury, bone fractures, appendicitis and urolithiasis. Diseases with the highest referral rates are traumatic brain injury, spinal cord injury, and cancers.