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目的探讨在职职工与退休住院患者疾病谱的特点,为有针对性地做好疾病的预防治疗和控制提供参考依据。方法采用回顾性方法对某医保定点医疗机构城镇职工在职职工与退休住院疾病谱资料进行顺位及构成分析。结果疾病谱的顺位有较高的一致度(rs=0.912,P<0.05):(1)在职职工与退休住院疾病谱总体的顺位有较高的一致性。(2)在职职工与退休住院疾病构成比的差别有统计学意义(P<0.05)。结论应根据不同职别疾病谱的各自特点,有针对性开展疾病预防控制和治疗,建立良好的医疗保险补偿制度。
Objective To explore the characteristics of disease spectrum of serving staff and retired inpatients, and to provide a reference for the targeted prevention and treatment and control of the disease. Methods The retrospective method was used to analyze the rank order and the composition of the illness spectrum information of employees and retired in-town staff and workers of a medical and insurance fixed-point medical institution. Results The rank of the disease spectrum showed a high degree of agreement (rs = 0.912, P <0.05): (1) There was a high degree of consistency in the overall rank of the disease spectrum between serving workers and retired residents. (2) There was a statistically significant difference in the constituent ratio between active staff and retirement hospital (P <0.05). Conclusion According to the different characteristics of different occupational disease spectrum, disease prevention and control should be targeted and treated, and a good medical insurance compensation system should be established.