预住院管理模式对医院运营效率的影响  

Effect of pre-hospital management mode on efficiency of hospital operation

作　　者：刘同柱[1] 张冰 储爱琴[1] 夏锦萍[1] 黄凤明[1] LIU Tongzhu;Zhang bing;CHU Aiqin(Anhui Provincial Hospital, Hefei 230001, China)

机构地区：[1]安徽省立医院,合肥230001

出　　处：《安徽医学》2017年第11期1488-1491,共4页Anhui Medical Journal

基　　金：安徽省科技厅省级软科学研究专项(项目编号:1607a0202054)

摘　　要：目的评价预住院管理模式的实施效果,分析实施过程中出现的问题,提出相应对策及建议。方法回顾性分析安徽省某三甲医院2015年11月至2017年3月期间预住院患者临床资料,选择预住院占比排名前10位的科室患者7460例为观察组(预住院组),在目标科室内同期随机抽取与预住院人数相同的正常住院患者7460例为对照组(正常住院组),分析比较两组患者在住院天数及住院总费用上的差异。结果观察组患者住院天数(8.65±9.10)天较对照组住院(9.41±9.29)天减少,差异有统计学意义(P<0.05);观察组患者住院总费用(21 147±20 943)元较对照组(22 011±21 293)元减少,但差异无统计学意义(P>0.05)。结论预住院模式缩短了患者住院日,降低患者自付费用,有效缓解"住院难"、"住院贵"的问题,进一步提升了医院运营效率。ObjectiveTo explore the implementation effect of the pre-hospital management mode,analyze the problems in the implementation process and put forward the relevant countermeasures and suggestions.MethodsThe clinical data of all pre-hospitalized patients in a grade IIIA hospital of Anhui province from Nov2015to Mar2017were retrospectively analyzed,and7460cases ofpatients from those top10clinical departments of pre-hospitalization ratio were selected as the study group,while other equalinpatientsof normal hospitalizationfrom the same departments were simultaneously and randomly selected as the control group(n=7460).Then the differences of total length of stay and hospital costsbetween the two groups were analyzed and compared.ResultsThe length of stayin the study group was significantly higher than that in the control group[(8.65±9.10)d vs(9.41±9.29)d,P<0.05].The total hospital costsin the study group were CNY(21,147±20,943),which was not significantly lower than thosein the control group CNY(22,011±21,293)(P>0.05).ConclusionThe implementation of pre-hospitalization mode could shorten the inpatients'length of stay,reduce theirself-pay hospital costs,and effectively alleviate theproblems of"difficultin hospital admission"and"expensive in hospitalization",with further improvement ofthe efficiency of hospital operation.

关 键 词：预住院 平均住院日 管理模式 

分 类 号：R197.3[医药卫生—卫生事业管理]