实施当日出院制度对平均住院日的影响及意义  

Effect of Implementing Day Discharge System on Average Length of Stay

作　　者：孙维甲[1] 刘海峰[1] 赵雯[1] 杨轶[1] 闫小萍[1] 

机构地区：[1]武警总医院医务部,北京100039

出　　处：《中国医院管理》2014年第6期28-29,共2页Chinese Hospital Management

摘　　要：目的探讨实施当日出院制度对缩短平均住院日的作用和意义。方法收集医院2013年度医疗数据,运用描述性统计学方法和线性回归当日出院和平均住院日的相关性进行分析。结果 2012年11月—2013年10月,全院平均住院日呈逐月下降趋势,同时住院患者当日出院比例增长明显。平均住院日和当日出院比例散点图显示相关性,线性回归分析具有统计学意义,两者呈高度负相关(r=-0.739,P=0.006)。结论住院患者当日出院比例对平均住院日有显著影响。为进一步缩短平均住院日,相关职能部门可以采取优化流程、加快出院结算、放开住院病患当日出院服务的政策措施。Objective To explore the effect of day discharge system to shorten average length of stay,and to analyze its effect and meaning.Method Relative data of the hospital from Nov,2012 to Oct,2013 were collected,and descriptive analysis and linear regression analysis were employed to explore the correlate of average length of stay and day discharge system.Result The average hospitalization day showed a downward trend,while the rate of day discharge accelerated.A linear relationship existed between the day discharge ratio and average length of stay（r =-0.739,P =0.006）.Conclusion Day discharge ratio has impact on average length of stay.Discharge management should be optimized,settlement of the hospitalization be improved,and fast discharge policies be implemented in hospitals to shorten the average length of stay.

关 键 词：当日出院 制度 平均住院日 

分 类 号：R197.323[医药卫生—卫生事业管理]