医保患者非计划性重复住院影响因素分析  

The Analysis of the Factors Influencing Unplanned Readmission of the Insured Patients

作　　者：郑彦如[1] 李益桑 肖良成[1] 

机构地区：[1]中山大学附属第一医院医疗保险办公室,广州510080

出　　处：《中国医疗保险》2014年第6期61-63,共3页China Health Insurance

摘　　要：目的:分析三甲综合医院医保患者非计划性重复住院的影响因素,为提升医疗质量、优化医院管理、完善医保政策提供依据。方法:将该医院2012年7月1日至2014年3月31日的237名医保非计划性重复住院患者资料进行归类分析。结果:合并多种基础疾病转科治疗导致的分解住院、病情变化、手术时间不当是影响医保患者非计划性重复住院的主要因素。结论:杜绝人为因素导致的非计划性重复住院,是优化医院管理、完善医保政策的有效办法之一。Objectives： To analyze the factors influencing unplanned readmission of the insured patients to the tertiary comprehensive hospitals, and to provide bases for the improvement of medical services, hospital management and insurance policy making. Methods： The medical records of 237 patients from July 1, 2012 to March 31, 2014 were selected and classified. Results： Multi-underlying diseases, deterioration of diseases, and, improper operation time are the main factors causing the unplanned re-hospitalization. Conclusion： Preventing human factors from causing repeated hospitalization is one of effective way to improve hospital management and medical insurance policy making.

关 键 词：医保患者 非计划性重复住院 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]