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中国食管胃管腺镜术的发展:2013年和2020年全国人口普查的结果
Siwei Zhou1,2, Zheran Chen1,2, Yunfei Jiao1,2
1Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China.
Frontiers in oncology
|June 24, 2024
概括
在2012-2019年期间,中国的食管胃管腺镜 (EGD) 使用量显著增加,医院数量增加,利用率更高. 诸如内镜师数量和癌症发病率等因素影响了EGD的可用性和质量.
科学领域:
- 胃肠病学和内镜检查
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在中国,上部消化道疾病对健康造成重大负担.
- 2012年至2019年期间,食管胃管腺镜 (EGD) 的使用在中国显著增加.
- 了解EGD实践的趋势和影响因素至关重要.
研究的目的:
- 调查2012年至2019年中国EGD的发展和实践.
- 在此期间确定影响EGD广泛使用和质量的因素.
主要方法:
- 在中国大陆进行了两次全国性消化肠道内镜检查的医院人口普查.
- 收集关于EGD基础设施,数量和质量的数据.
- 分析了来自开放访问源的现实数据,以确定影响EGD实践的因素.
主要成果:
- 执行EGD的医院数量在三级医院增加了1.49倍,在二级医院增加了1.12倍.
- 国家EGD使用率上升至每10万居民的2,018.06 (增长1.23倍).
- 更高的内镜医生密度,更多的三级医院,更高的癌症发病率和更高的医院密度与更高的EGD可用性和质量相关. 医院分级,GDP,癌症发病率和EGD体积显著影响了恶性瘤检测率 (MDR).
结论:
- 在过去的七年里,中国在EGD服务方面取得了重大进展.
- 关于EGD服务的质量和公平分配,仍然存在重大挑战.
- 需要持续努力来解决差异,并提高EGD的整体质量.
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