三级综合医院患者无效住院日影响因素研究  

Research on the Influencing Factors of Unnecessary Hospitalization in Tertiary-level Comprehensive Hospital

作　　者：魏威[1] 李刚[1,2] 吴姝德[3] 陶红兵[2] 孙熹[1] 周宇[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030 [2]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [3]华中科技大学同济医学院附属协和医院,湖北武汉430030

出　　处：《中国卫生质量管理》2017年第4期21-24,共4页Chinese Health Quality Management

基　　金：湖北省卫生计生委卫生政策专项基金(WJ2015GB003)

摘　　要：目的分析患者无效住院日影响因素,降低无效住院天数,减轻患者负担,提高三级综合医院服务效率和质量。方法采用文献分析法选取三级综合患者无效住院日影响因素指标集,运用德尔菲法构建三级综合医院患者无效住院日影响指标体系。结果参与咨询的专家权威程度平均为0.868 3,通过两轮专家咨询,最终得出21个三级综合医院患者无效住院日影响因素,其中医方11个、患方6个、社会方面4个。结论将患者无效住院日影响因素分为医方、患方、社会三个层面,针对不同影响因素,采取应对策略,最终提高医疗资源利用效率,降低患者住院经济负担。Objective To analyze the influencing factors of unnecessary hospitalization for reducing unnecessary length of stay, relieving patients economic burden, and improving the efficiency and quality of service in tertiary--level hospital. Methods The literature analysis method was used to collect index set of influencing factors of unnecessary hospitalizations, and the Delphi method was used to construct an identification index system. Results The average au- thority of involved experts was 0.868 3. Through two rounds of expert consultation, 21 indexes of unnecessary hospitali- zation in tertiary--level hospitals were finally obtained, including 11 in part of hospital, 6 in patient, zi in social aspects. Conclusion The index of influencing factors of unnecessary hospitalization was divided into three aspects： hospital, patient and social aspects. For different factors, targeted coping strategies were taken to ultimately improve the efficiency of medical resources utilization, and reduce the financial burden of inpatients.

关 键 词：平均住院日 无效住院日 影响因素 

分 类 号：R749.72[医药卫生—神经病学与精神病学]