结直肠外科预住院制度的实施效果分析与探讨  

Analysis and Discussion on the Implementation Effect of Pre-hospitalization System inColorectal Surgery

作　　者：张媛媛[1] 邓攀[1] 傅赞[2] 卢姗[3] ZHANG Yuanyuan;DENG Pan;FU Zan;LU Shan(Medical Department,The First Hospital With Nanjing Medical University,Nanjing,Jiangsu,210029;General Surgery Department,The First Hospital With Nanjing Medical University,Nanjing,Jiangsu,210029;Outpatient Department,The First Hospital With Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学第一附属医院医务处,江苏南京210029 [2]南京医科大学第一附属医院普外科,江苏南京210029 [3]南京医科大学第一附属医院门诊部,江苏南京210029

出　　处：《江苏卫生事业管理》2023年第3期361-364,共4页Jiangsu Health System Management

基　　金：江苏省医院协会医院管理创新研究课题(JSYGY-3-2021-534);国家自然科学基金面上项目(82172956)。

摘　　要：目的:评价预住院制度的实施效果,提出促进预住院制度更好落实与发展的合理化建议,以提升医院管理效率。方法:2020年1月至12月结直肠外科按照不同的住院方式,把直肠癌择期手术患者分为常规住院组与预住院组,其中常规住院组78例,预住院组56例。比较常规住院组与预住院组患者的床位等待时间、平均住院天数、术前天数、住院费用,以及住院满意度等。结果:预住院组床位等待时间、住院天数、住院费用均不同程度下降,差异具有统计学意义(P<0.05)。常规住院组患者总体满意度为83.3%,与预住院组总体满意度91.1%比较,差异具有统计学意义(P<0.05)。结论:实行预住院制度,可以进一步提升床位的周转率和使用率,缩短平均住院天数,减少患者的费用支出,能有效缓解医疗资源紧张的现状,是一种值得推行与探索的管理制度。Objective:To evaluate the clinical effect of the pre-hospitalization system,and promote the implementation and development of the pre-hospitalization system,the aim of this study was to improve the efficiency of hospital management.Methods:From January 2020 to December 2020,patients with colorectal surgery were divided into 2 group(78 patients in routine hospitalization group,and 56 patients in pre-hospitalization group)according to different hospitalization.Hospitalization waiting time,average hospitalization days,preoperative days,hospitalization expenses,and hospitalization satisfaction were compared before and after the implementation.Results:Compared to routine hospitalization group,hospitalization waiting time,days of hospitalization,and hospitalization expenses were decreased markedly in pre-hospitalization group.The difference is statistically significant(P<0.05).Total satisfactory degree was significant increase in pre-hospitalization group(pre-hospitalization group:91.1%vs routine hospitalization group:83.3%)The difference is statistically significant(P<0.05).Conclusion:The pre-hospitalization system can further improve the efficiency of beds turnover,shorten the average length of hospitalization,reduce the expenses of patients.Pre-hospitalization is a promising and feasible inpatient management system for improving alleviating the shortage of medical resources.

关 键 词：预住院制度 结直肠外科 床位利用率 

分 类 号：R197.1[医药卫生—卫生事业管理]