基于时间消耗指数的临床科室床位利用效率评价方法研究  

Analysis of Evaluation Method of Bed Utilization Efficiency in Clinical Departments based on Time Consumption Index

作　　者：赵玉洋 郝晋 吴春华[1] 陈岩[1] 徐丹 刘惠文 Zhao Yuyang;Hao Jin;Wu Chunhua(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing,100010,China;不详)

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《中国医院管理》2024年第7期46-49,共4页Chinese Hospital Management

基　　金：北京市属医院科研培育项目(PG2021018)。

摘　　要：目的基于时间消耗指数对临床科室床位利用效率进行评价。方法选取某三级甲等中医综合医院2019年医疗工作统计年报数据及北京地区住院医疗服务绩效评价平台数据,计算科室时间消耗指数,在此基础上计算各科室区域平均住院日,再结合目标床位使用率计算出标准床位周转次数,根据科室实际床位使用情况构建床位利用模型。结果病床开放天数一定,基于各科室目标床位使用率和各科室的疾病诊断相关分组(DRG)区域内平均住院日可计算出基于DRG病组的科室年度标准床位周转次数,在此基础上构建床位利用模型,样本医院临床科室床位利用效率评价结果为59.09%的科室为效率型科室,压床型、闲置型、周转型科室均占13.64%。结论将时间消耗指数引入科室床位利用效率评价符合实际工作情况,降低时间消耗指数是科室提高床位利用效率的重中之重,可将评价结果用于医院床位资源配置依据。Objective To evaluate the utilization efficiency of beds in clinical departments based on time consumption index.Methods Selecting data from the 2019 annual report of medical work statistics and data from the Beijing inpatient medical service performance evaluation platform of a tertiary grade A general hospital of Traditional Chinese Medicine,the time consumption index of departments was calculated,based on which the regional average inpatient day of each department was calculated.and the number of standard bed turnover was calculated based on the target bed utilization rate.The bed utilization model was constructed based on the actual bed utilization in the department.Results Beds are open for a certain number of days,based on the target bed occupancy rate of each department and the average inpatient days within the DRG region of each department can be calculated based on the annual standard bed turnover number of the department based on the DRG disease group,on the basis of which the bed utilisation model is constructed.59.09%of the departments were efficiency departments,and the departments of press bed type,idle type and weekly transition all accounted for 13.64%respectively.Conclusion Introducing the time consumption index into the evaluation of bed utilization efficiency is in line with the actual work situation.Shortening the time consumption index is the most important thing to improve the bed utilization efficiency.The evaluation results can be used as the basis for the allocation of hospital bed resources.

关 键 词：床位利用效率 时间消耗指数 疾病诊断相关分组 

分 类 号：R197.323.2[医药卫生—卫生事业管理]