某三级医院近10年外科手术患者平均住院日及影响因素分析  

Average length of stay and its influencing factors of surgical patients in a tertiary hospital in recent 10 years

作　　者：张秀英[1] 程相阵[2] 李红娟[1] 关欣[1] 

机构地区：[1]北京大学首钢医院,100144 [2]首都医科大学石景山教学医院

出　　处：《中国医院统计》2016年第4期263-265,269,共4页Chinese Journal of Hospital Statistics

基　　金：石景山老年医学重点学科建设;北京大学首钢医院青年基金(SGYY201408)

摘　　要：目的本文通过对某三级医院外科手术患者近10年的平均住院日的分析，研究医院平均住院日的总体水平、变化特点及影响因素，旨在为医院统筹管理、有效缩短平均住院日，提高医院的效率和效益提供依据。方法数据来源于某三级医院病案管理系统的病案首页资料，研究提取2004--2014年出院患者的病案资料，计算该医院总的平均住院日以及外科手术患者的平均住院日。平均住院日是将所有研究病例的住院日数（即占用床日数）相加，除以研究病例数。结果近10年来医院平均住院日呈不断下降趋势，由2004年的16．21天下降至2014年的10．90天，下降了5．31天。性别、年龄、职业、病人来源、付费方式、术前住院日、手术级别是影响手术患者平均住院日的主要因素。结论我院近年来通过各项政策的落实，有效地缩短平均住院日，这不仅利于医院业务发展，而且减轻了患者的负担。、Objective To examine the level, trends and factors of the average length of stay in surgical patients in re- cent 10 years, and provide the basis for the overall management of the hospital, shortening the average length of stay and impro- ving the efficiency of the hospital. Methods Data were from medical record first page of medical record management system of a tertiary hospital. The medical record data of patients discharged from 2004-2014 were studied, and the average days of hospi- talization were calculated. Average length of stay in hospital was the number of days of hospitalization （ that was, the number of days in bed）, divided by the number of cases. The average length of stay of patients with operation was also described in this pa- per. Results The average length of hospital stay in hospital in the past 10 years was decreasing, which fell from 16.21 days in 2004 to 10.90 days in 2014, decreasing by 5.31 days. There are many factors that affect the average length of stay, such as sex, age, occupation, original, way of payment, length of stay before operation, and level of operation. Conclusion The average length of stay in hospital has been shortened in recent years through the implementation of various policies, which is conducive to the development of the hospital and reduction of the burden of patients.

关 键 词：外科手术患者 平均住院日 趋势 影响因素 

分 类 号：R619.3[医药卫生—外科学]