关于合理降低公立医院平均住院天数的探讨  

Discussion on reasonably reducing the average days of hospitalization in public hospitals

作　　者：周莹[1] 钱红英[2] 姚洁[1] 庄志伟 张枫[1] Zhou Ying;Qian Hongying;Yao Jie(Wuxi No. 2 Hospital Affiliated to Nanjing Medical University, Wuxi 214002, Jiangsu, China)

机构地区：[1]无锡市第二人民医院,江苏无锡214002 [2]无锡市第二人民医院运营管理科,江苏无锡214002

出　　处：《医院与医学》2019年第3期13-17,共5页Hospital and Medicine

基　　金：江苏省卫生计生委人事人才课题(R2017005).

摘　　要：平均住院日是反映医院经营管理水平、医疗效率、医疗质量的指标。通过从医院的信息系统中提取患者医疗数据,对医院的实际病历数据进行收集与统计分析,对医院部分科室进行调研,向一线医生询问实际工作流程,从医院管理层面入手,分析影响平均住院日的主要因素,并且采用2017年、2018年、2019年1到4月的部分运行数据,分析全院平均住院日的趋势;以2018年江苏省三级综合医院的平均水平为基准,将2019年1到4月全院平均住院日与之对照模拟分析在医院需要收治的患者总数不变及床位使用率不变两种情况下产生的相关资源使用效率正向效应。The average days of hospitalization is an indicator of hospital management level, medical efficiency and medical quality. By patients medical data extracted from the hospital information system, the actual medical records of hospital data collection and statistical analysis, part of the research department of hospital, asked the frontline doctors working process, from the perspective of the hospital management level, analysis the main factors affecting the average such confinement, and by 2017, 2018, form January to April 2019 of part of the run data, to analyze the trends of average floor such confinement;taking the the average days of hospitalization of the whole hospital from January to April 2019 as the benchmark and comparing the simulation analysis with the average level of tertiary general hospitals in Jiangsu province in 2018, the positive effect of the utilization efficiency of relevant resources was generated when the total number of patients needing treatment in the hospital remained unchanged and the utilization rate of beds remained unchanged.

关 键 词：平均住院天数 床位资源 使用效率 

分 类 号：R195[医药卫生—卫生统计学]