某医院1344例超长住院日患者分布特征分析  

Analysis of the distribution characteristics of 1 344 patients with overlength hospitalization in a hospital

作　　者：吴鸿鹏[1] 张宗旺[1] Wu Hongpeng;Zhang Zongwang(Information Centre,Liaocheng People′s Hospital,Liaocheng 252000,China)

机构地区：[1]聊城市人民医院,252000

出　　处：《中国医院统计》2018年第5期388-391,398,共5页Chinese Journal of Hospital Statistics

摘　　要：目的了解超长住院日出院患者情况,为医院管理部门降低低效或无效住院日提供数据支持。方法对某院2017年超长住院日患者的相关信息进行回顾性调查及描述性统计分析。结果超长住院日患者占同期出院人数的1.03%,平均住院日60.5天。超长住院日患者主要分布在42～50天组。超长住院日患者来源地以本市为主,占95. 54%。离院方式以医嘱离院为主,占83.78%。超长住院日患者男女性别比为1.87∶1,平均年龄为53岁,主要分布在60岁以上和45～59岁这2个年龄组。1 344例超长住院日患者人均费用为100 226元,付费方式以医疗保险为主。超长住院日患者以放疗科、神经外科、骨科3个科室人数最多。超长住院日患者前5位疾病系统排序依次为损伤和中毒、影响健康状态和与保健机构接触的因素、肿瘤、循环系统疾病、起源于围生期疾病。结论针对重点科室、重点病种加强监管,定期通报住院天数达到30天以上患者情况。建立院科两级预警机制,关注年龄和疾病谱,加快加强医联体建设,疏通转诊渠道,多管齐下缩短平均住院日。Objective To provide data support for the hospital management department to reduce inefficient or ineffective hospitalization days,we analyzed the situation of patients with overlength hospitalization.Methods A retrospective survey and descriptive statistical analysis were carried out on the patients with overlength hospitalization in a hospital in 2017.Results The patients with overlength hospitalization accounted for 1.03%of the discharge number in the same period,and the average hospitalization day was 60.5 days.The excess length of hospitalization days was mainly distributed in the 42~50 day group.This city was the main source of ultra long hospital days,accounting for 95.54%.The way of leaving hospital was mainly from medical advice,accounting for 83.78%.The sex ratio of men and women patients with overlength hospitalization was 1.87:1,and the average age was 53 years old,mainly in two age groups over 60 years old and 45~59 years old.The per capita cost of 1344 cases of overlong hospitalization was?100226,and the payment method was mainly medical insurance.The number of patients were mainly from Department of radiotherapy,Department of neurosurgery and Department of orthopedics.The first five diseases in super long hospitalization days in the descending order were injury and poisoning,affecting health status and factors related to health care institutions,tumor,circulatory system diseases,and perinatal diseases.Conclusion The supervision of key departments and key diseases is strengthened,and patients with hospitalization days over 30 days should be regularly reported.We should establish the two level early warning mechanism of the hospital,pay attention to the age and disease spectrum,accelerate the construction of medical union,dredge the referral channels,and shorten the average hospitalization days.

关 键 词：平均住院日 超长住院日 分布特征 

分 类 号：R197.32[医药卫生—卫生事业管理]