平均住院日的管控及成效分析  

Control and Effectiveness Analysis of Average Length of Hospital Stay

作　　者：万云 陈佳[1] WAN Yun;CHEN Jia(Medical Department,Nantong Cancer Hospital,Nantong 226000,Jiangsu,China)

机构地区：[1]南通市肿瘤医院医务科,江苏南通226000

出　　处：《中国卫生产业》2024年第8期53-56,共4页China Health Industry

摘　　要：目的探究以临床科室为单位考核的管控方式对平均住院日的管控成效。方法选取2021年1月—2023年6月南通市肿瘤医院80名医务人员为研究对象。2021年1—12月实行常规平均住院日管理,2022年1月—2023年6月实行临床科室为单位考核的管控方式,比较2021—2023年各科室平均住院日情况及医疗运行指标(病床使用率、床位周转次数、床位使用指数),对比管控前后医务人员综合素质评分。结果与2021年相比,2022年各季度以及2023年第一季度、第二季度各科室平均住院日均有不同程度下降,患者病床使用率、床位周转次数以及床位使用指数总体上有升高趋势。管控后医务人员专业技能、诊疗效率、工作态度、团队协作能力、服务意识评分均高于管控前组,差异有统计学意义(P均<0.05)。结论采用临床科室为单位考核的管控方式,能够缩短临床科室平均住院日,增加床位周转次数,提高患者病床使用率。Objective To explore the effectiveness of the control method assessed by clinical departments on the average length of hospital stay.Methods Eighty medical staff of Nantong Cancer Hospital were selected from January 2021 to June 2023 as the study subjects.Routine average hospitalization day management was carried out from January to December 2021,and from January 2022 to June 2023,the control method was carried out with the assessment of clinical departments as a unit.Compared the average hospitalization days and medical operation indexes(bed utilization rate,bed turnover times,bed utilization index)of each department from 2021 to 2023,and compared the scores of the comprehensive quality of medical staff before and after the control.Results Compared with 2021,the average hospitalization days in each quarter of 2022 and the first and second quarters of 2023 decreased to different degrees in each department,and there was a general trend of increase in the patient bed utilization rate,the number of bed turnovers,and the bed utilization index.The scores of professional skills,diagnosis and treatment efficiency,work attitude,teamwork ability,and service awareness of medical staff after control were higher than those of the pre-control group,and the differences were statistically significant(all P<0.05).Conclusion Adopting the control method of assessing clinical departments as a unit can shorten the average hospitalization days of clinical departments,increase the number of bed turnovers,and improve the utilization rate of patient beds.

关 键 词：平均住院日 临床科室 考核 病床使用率 平均住院日管控 

分 类 号：R19[医药卫生—卫生事业管理]