基于中断时间序列的眼科日间手术控费增效分析  

Interruption Time Series Analysis of the Effects of Daytime Surgery Management on Average Hospitalization Days,Bed Turnover and Hospitalization Expenses in Ophthalmology

作　　者：苏晓洁 赵敏[1] 余擎 SU Xiaojie;ZHAO Min;YU Qing(The First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian,China)

机构地区：[1]厦门大学附属第一医院,福建省厦门市361003

出　　处：《中国卫生信息管理杂志》2025年第2期313-319,共7页Chinese Journal of Health Informatics and Management

摘　　要：目的评估日间手术管理对眼科平均住院日、床位周转次数及住院费用的影响。方法提取福建省某三甲医院2016年1月至2023年6月眼科25608例出院患者相关数据,采用基于稳健MM估计的中断时间序列分析开展日间手术管理前后平均住院日、床位周转次数及住院费用的变化趋势。结果开展日间手术管理后,眼科、老年性白内障及翼状胬肉平均住院日分别即时缩短1.470天、1.353天及1.277天(均P<0.001);眼科床位周转次数月均增加0.376(P<0.001);眼科及翼状胬肉住院次均费用分别即时下降571.710元(P=0.005)及328.629元(P=0.030),随后翼状胬肉住院次均费用月均下降1.736元(P=0.002)。结论开展日间手术管理可以缩短平均住院日,提升床位周转次数,降低住院费用,有助于降低患者就医负担,提高医院资源利用率。Objective To evaluate the effect of daytime surgery management on average hospitalization days,bed turnover,and hospitalization expenses in opathalmology.Methods Extract relevant data of 25608 ophthalmic discharge patients from a tertiary A-level hospital in Fujian Province from January 2016 to June 2023.Use interrupt time series based on robust MM estimation to analyze the trend of changes in average hospitalization days,bed turnover,and hospitalization expenses before and after implementing daytime surgery management.Results After implementing daytime surgery management,the average hospitalization days for ophthalmology,senile cataract,and pterygium were immediately shortened by 1.470 days,1.353 days,and 1.277 days,respectively(all P<0.001).The average monthly increase in the times of bed turnover of ophthalmology was 0.376(P<0.001).The average hospitalization expenses for ophthalmology and pterygium immediately decreased by 571.710 yuan(P=0.005)and 328.629 yuan(P=0.030),respectively,followed by an average monthly decrease of 1.736 yuan(P=0.002)for pterygium.Conclusion Implementing daytime surgery management can shorten average hospitalization days,increase bed turnover,reduce hospitalization expenses,reduce the burden on patients seeking medical treatment,and improve hospital resource utilization.

关 键 词：日间手术 中断时间序列 稳健MM估计 平均住院日 床位周转次数 住院费用 

分 类 号：R195.1[医药卫生—卫生统计学]