门诊退号现象的Logistic回归分析  

Logistic analysis on outpatient non-attendance

作　　者：蒋德川[1] 张雪梅[1] 李园[1] 袁欣[1] 

机构地区：[1]广州军区武汉总医院质量管理科,武汉市武珞路627号430000

出　　处：《中国医院》2009年第12期69-71,共3页Chinese Hospitals

摘　　要：目的:探索医院门诊患者的退号率、退号规律、影响退号的主要因素,从而采取相应的措施。方法:通过研究某三甲医院2008年上半年的门诊数据,对影响患者退号的主要因素进行Logistic回归分析,并对所有数据分析采用SPSS12.0进行处理。结果:该院的门诊患者退号率为7.1%,与国内其他医院的患者退号率相当。患者退号主要与门诊收费体制、年龄、所挂号别、就诊次数有关,与挂号员挂号熟练度、患者性别、是否急诊患者无关。结论:通过采取提高挂号人员医学素质,改进预诊分诊制度,启用电子分诊系统等措施可以降低门诊患者的退号率。Objectives： To explore outpatient non-attenda：nee rate, non-attendance rule and its main factors. Methods： Data were selected in a tertiary hospital in first half of 2008. Main factors influencing outpatient non-attendance were analyzed hy Logistie regression model in SPSS 12.0 software. Results： The nun-attendance rate of the hospital is 7. 1%.There is no difference in nun-attendance rate between sited hospital and other hospitals in China. Logistic regression analysis shows that uutpalienl non-attendane＋e related tu outpatient attendance system, age, outpatient service type and the number of outpatient visits＋ It was not related to staff＇ s proficiency, sex and emergency service. Conclusions： By promoting staff＇ s professional quality, improving triage system for pre-diagnosis and using Electronic triage system can decrease uutpatient nun-attendance rate.

关 键 词：门诊退号 LOGISTIC模型 

分 类 号：R587.1[医药卫生—内分泌] R197.32[医药卫生—内科学]