某三甲医院住院时间超长患者分布特征及原因分析  

Cause and Distribution of Patients with Overlength Hospitalization Time in a Class I Grade A Hospital

作　　者：帕提古丽.尼亚孜 杨莹[1] 于永福[1] PATIGULI Niyazi;YANG Ying;YU Yongfu(The Fifth Affiliated Hospital,Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学第五附属医院,新疆乌鲁木齐830011

出　　处：《现代医院》2019年第2期169-171,共3页Modern Hospitals

摘　　要：目的通过对某三甲医院住院超过30 d的患者进行综合性分析,找到影响超长住院时间的原因,并探讨解决方案。方法对2017年1月—2018年6月全院住院超过30 d患者临床资料进行统计学分析。结果 55331例出院患者中,有486例患者住院时间超过30 d,占0. 88%;住院30 d以上的患者集中于康复科、神经内科、神经外科、骨科;患者年龄集中于65岁以上;疾病自身及患者因素是住院超过30 d的主要原因。结论患者基本情况、疾病本身因素、付费方式均影响住院时间,医院应建立预警机制,完善医疗服务管理流程,提倡双向转诊,提高诊疗水平,有效降低平均住院时间。Ojbective To investigate the reasons of patients being hospitalized more than 30 days in a major hospital and to explore the solution by comprehensively analyzing them.Methods From January 2017 to June 2018,the clinical data of inpatients,hospitalized over 30 days from January 2017 to June 2018,were statistically analyzed.Results Among 55,331 discharged,486 patients were hospitalized for more than 30 days,accounting for 0.88%and they were mainly in rehabilitation department,departments of neurology,neurosurgery and orthopedics;The age of these patients was over 65;Illnesses and patients themselves were the main reasons for hospitalization over 30 days.Conclusion The basic conditions of patients,their diseases and the payment methods affect the duration of hospitalization.Therefore,hospitals should establish an early warning mechanism,improve the medical service and management process,advocate two-way referral,improve the diagnosis and treatment level,and effectively reduce the average hospitalization time.

关 键 词：住院时间 分布特征 原因分析 

分 类 号：R197.323[医药卫生—卫生事业管理]