病床工作效率指标在医院床位设置中的应用  

Application of sickbed work efficiency index in hospital bed setting

作　　者：康更洁[1] 黄璇[1] 贾燕 KANG Gengjie;HUANG Xuan;JIA Yan(Medical Department,Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属复兴医院医务处,北京100038

出　　处：《中国现代医生》2019年第6期128-131,136,共5页China Modern Doctor

摘　　要：目的通过对医院实际床位设置现状进行分析,为医院动态的优化床位设置提供科学依据。方法采用回顾性研究的方法,选取某院2017年1～12月医疗统计报表数据,应用Excel 2003统计软件,利用病床工作效率指标计算出各科平均开放床位数的95%可信区间并据此分析。结果某院2017年全年床位设置齐全的31个临床科室中10个科室床位设置比较合理,21个科室床位设置存在偏多或偏少现象。结论在新医改背景下,建议医院定期分析床位利用情况,结合各专业临床特点动态调整床位,发展优势学科,加强双向转诊,床位资源共享,从而更有效地利用病床资源,创造良好的社会效益和经济效益。Objective To analyze the status quo of actual bed setting in hospitals, and provide scientific basis for the dynamical optimal bed setting of hospital. Methods The data of medical statistical report of a hospital from January to December 2017 was extracted by conducting retrospective study. Excel 2003 statistical software was used to calculate the 95% confidence interval of the average open bed number of each department by using the working efficiency index of the sickbed and analyze it accordingly. Results In the 31 clinical clinics with a full set of beds in 2017, the setting of beds in 10 clinical departments was reasonable, and the number of beds was more or less in 21 departments. Conclusion Under the background of the new medical reform, it is recommended that the hospital regularly analyze the utilization of beds, dynamically adjust the beds in combination with the clinical characteristics of each specialty, develop superior disciplines, strengthen two-way referrals, and share bed resources, thereby making more effective use of bed resources and creating good social benefits and economic benefits.

关 键 词：病床工作效率 床位设置 合理区间 新医改 

分 类 号：R197.3[医药卫生—卫生事业管理]