我国居民住院率的系统评价研究
Study on national hospitalization rate in China using second-hand data: A systematic review approach
摘要目的 分析我国居民的住院率,探索系统评价研究方法在卫生政策研究中的应用.方法 收集2000年以来国内住院率调查的文献并进行质量评价,按照系统评价的研究思路和要求,使用合并分析方法对有关文献报告的结果进行整合分析.结果 有25篇研究城乡居民住院率的文献入选,将各研究样本整合的结果为居民总住院率分别为4.70%,城市为5.31%、农村为4.26%,与2003年国家卫生服务调查数据合并后计算的住院率分别为4.12%、4.85%和3.82%.结论 系统评价研究的思路可以在卫生管理和政策领域探索使用,整理与合并信息的方法可根据研究目的 和资料性质进行选取和创设,计量分析方法需进一步丰富和完善.
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abstractsObjective of this study is to re-compute the national hospitalization rate in China using the second-hand data and explore the practical use of systematic review in health policy research field.Methods Domestic literatures on hospitalization rate in the last six years were collected and quality assessment was done.Merging analysis was used based upon systematic review approach.Results 25 reported literatures on hospitalization rate of urban and rural residents were included into the study.After merging analysis,the hospitalization rates were 4.70% for the country,5.31% for the urban and 4.26% for the rural.They are higher than the reported hospitalization rate in National Health Services Survey (NHSS)in 2003.After merging with the NHSS data,the hospitalization rate were 4.12%,4.85% and 3.82% respectively.Conclusions Systematic review can be applied in health service and policy research field.Data merging and information processing methods are diversified and could be selected upon research purpose and data attribute.Computation methods in systematic review in health policy research still need to be developed.
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