某传染病医院超长住院患者影响因素分析  

Impacting factors of extra long-term hospital stay of patients in an infectious diseases hospital

作　　者：王永红 柏广浩 纪娇 WANG Yonghong;BO Guanghao;JI Jiao(Yangzhou Third People’s Hospital,Yangzhou 225125,China)

机构地区：[1]扬州市第三人民医院,江苏扬州225125

出　　处：《现代医院》2024年第11期1753-1756,1760,共5页Modern Hospitals

摘　　要：目的通过研究某传染病医院住院时间超长患者的特点,制定对应政策,达到有效控制患者住院时间,从而提高医疗资源利用效率。方法从医院病案管理系统中调取2023年全年医院所有出院患者的相关资料,包括年龄、性别、疾病名称、出院科室、住院时间等信息,利用EXCEL、SPSS等相关软件进行统计分析。结果超长住院患者中男性占比远高于女性;超长住院患者的产生考虑与年龄有关,年龄越大,超长住院患者占比越高;职工医保和居民医保患者占绝大多数,自费医疗只占一小部分;超长住院的患者疾病集中在某些传染病和寄生虫病(A00-B99),占半数以上。控制超长住院时间有利于降低患者住院费用,减轻患者负担。结论加强医疗质量管理,加强对重点科室和疾病的患者管理,加强医患沟通,充分告知,减少医疗纠纷,重视信息化建设,合理利用医疗资源,是控制患者住院时间延长的有效途径。Objective To observe the characteristics of patients with extra long-term hospital stays at an infectious diseases hospital,formulate corresponding strategies,and effectively control the length of stays so as to improve the efficiency of medical resource utilization.Methods Data of all discharged patients in 2023,including age,gender,disease name,discharge department,and length of stay,were retrieved from the hospital’s medical record management system.Statistical analysis was conducted using Excel and SPSS.Results The analysis indicated that the proportion of male patients with excessively long hospital stays was significantly higher than that of female patients.Additionally,prolonged hospital stays were correlated with age,and elderly patients exhibited a higher proportion of extended stays.Most patients were covered by employee medical insurance and resident medical insurance,while only a small portion relied on self-funded medical insurance.Over half of the excessively hospitalized patients were affected with specific infectious and parasitic diseases(A00-B99).Controlling the length of these hospitalizations could reduce costs and alleviate patient burdens.Conclusion Controlling excessive hospital stays is effective through strengthened medical quality management,enhanced patient management in key departments,and a focus on specific diseases.Additional strategies for controlling extended hospital stay include improving doctor-patient communication,increasing comprehensive patient information sharing,reducing medical disputes,attaching importance to information technology,and reasonably utilize medical resources.

关 键 词：超长住院日 统计分析 整改措施 

分 类 号：R197.323.4[医药卫生—卫生事业管理]