家庭病床实践运营效果分析--以福建省级机关医院为例  

Analysis on the effect of practice operation of family bed-take Fujian provincial organ hospital as an example

作　　者：高云[1] 邱荣燕[1] 罗坤金 郭建平[1] GAO Yun;QIU Rongyan;LUO Kunjin;GUO Jianping(Fujian Provincial Organ Hospital,Affiliated Hospital of Fujian Health Vocational and Technical College,Fuzhou 350003,China)

机构地区：[1]福建省级机关医院,福建卫生职业技术学院附属医院,350003

出　　处：《中国老年保健医学》2025年第1期91-96,共6页Chinese Journal of Geriatric Care

基　　金：福建省医学创新课题(编号:2023CXA043)。

摘　　要：目的以福建省级机关医院家庭病床运营为例探讨家庭病床实践运营效果,并对老年高血压患者家庭病床费用与医疗费用进行成本效益分析,为完善家庭病床工作提供参考。方法采用回顾性调查的方法对2021年5月至2024年4月在家庭病床科建床的486例患者进行调查,了解家庭病床服务现状、收治病种,并提取其中的80例老年高血压患者与同期住院的80例高血压患者进行一般资料描述性统计分析。结果家庭病床建床数、巡诊次数及护理服务次数逐年增加,增幅分别为77.27%、158.94%及113.49%。收治病种涵盖大部分老年慢性病。家庭病床建床的患者中,70岁以上的老年患者占96.1%。80%以上的老年患者血压得到控制。在住院天数和医疗费用上,两组患者存在显著性差异(P<0.05),家庭病床患者住院天数普遍比住院患者长,住院天数≥31天的家庭病床组有88.75%,住院组仅有3.75%。家庭病床组的医疗费用5705.59(3901.27,7653.30)元,住院患者的医疗费用为9153.01(6794.84,11650.17)元,家庭组医疗费用是住院组医疗费用的62.34%,平均医疗费用降低2893.57~3996.87元。结论患者对家庭病床服务需求呈逐年递增趋势,家庭病床能有效解决老年慢病患者的居家健康服务需求,有效控制病情发展,减少医疗费用支出。家庭病床服务受到老年慢病患者青睐,尤其是女性及高血压病患者。Objective Taking the operation of family beds in provincial organ hospitals in Fujian province as an example,to explore the practical operation effect of family beds and to analyze the cost of family beds and hospitalization costs for elderly patients with hypertension,so as to provide reference for improving family beds.Methods A retrospective survey was conducted on 486 patients who had beds set up in the family bed department from May 2021 to April 2024 to understand the service status of family beds and the types of diseases treated,and the general data of 80 elderly hypertensive patients and 80 hospitalized hypertensive patients in the same period were extracted for descriptive statistical analysis.Results The number of hospital beds,the number of visits and the number of nursing services increased year by year,with an increase rate of 77.27%,158.94%and 113.49%,respectively.The treatment covers most of the chronic diseases of the elderly.Among the patients with family beds,96.1%were aged over 70 years old.More than 80%of the elderly patients had blood pressure controlled.In terms of hospitalization days and hospitalization costs,there were significant differences between the two groups(P<0.05).The hospitalization days of home bed patients were generally longer than that of hospitalized patients,88.75%of the hospitalization days≥31 days were in home bed group,and only 3.75%were in inpatient group.The medical cost of the family bed group was 5705.59(3901.27,7653.30)yuan,and that of the inpatients was 9153.01(6794.84,11650.17)yuan.The hospitalization cost of the family group was 62.34%of the hospitalization cost of the inpatient group,and the average hospitalization cost was reduced by 2893.57~3996.87 yuan.Conclusion Patients'demand for home bed service is increasing year by year.Home bed can effectively solve the home health service demand of elderly patients with chronic diseases,effectively control the development of disease,and reduce hospitalization expenses.Home bed service is favored by elderly patient

关 键 词：家庭病床 老年患者 高血压 

分 类 号：R197.322[医药卫生—卫生事业管理]