18所三甲医院三日确诊率情况分析  

Analysis of the 3-day-correct-diagnosis rate in 18 "the 3rd degree and grade A" hospitals

作　　者：傅万明[1] 程榕梅[2] 石东[1] 张健玲[1] 盛梅[1] 鲁立[1] 邹俊卿[1] 耿文进[3] 胡毅华[4] 

机构地区：[1]南京军区南京总医院信息科,江苏南京210002 [2]南京市医学研究所,江苏南京210008 [3]南京市卫生局,江苏南京210008 [4]南京市鼓楼医院信息科,江苏南京210008

出　　处：《医学研究生学报》2004年第4期349-351,共3页Journal of Medical Postgraduates

基　　金：南京军区南京总医院重点课题基金资助项目 (批准号 :2 0 0 3 14 6)

摘　　要：目的 :分析南京市 18所三级甲等医院 (简称三甲 )三日确诊率情况 ,总结出达标与否的经验教训。　方法 :分别统计 18所三甲医院三日确诊率情况 ,并与同年度收容量、床位使用率、床位周转次数及出院者平均住院日情况对比分析。　结果和结论 :对照国家卫生部分级管理文件规定三日确诊率≥ 90 %的要求 ,18所医院 17所达标 ,占 94 .4 4 % ;在达标的医院中 ,三日确诊率最低为 95 .8%、最高的为 10 0 % ;其中三日确诊率≥ 96 %、≥ 98%及达 10 0 %的医院分别为 16所 (占 94 .1% )、9所 (占 5 .3% )、1所 (占 0 .6 % ) ,并提出提高三日确诊率的对策。Objective:To analyze the 3-day-correct-diagnosis rate in 18 'the 3rd degree and grade A' hospitals in Nanjing,and to conclude our experience. Methods:To count the 3-day-correct-diagnosis rate in the 18 hospitals,and compare the number of in-patients,the bed-using rate,the bed-turnover times and the average in-patient days in the same year. Results and conclusions:As the rules of the grade-management files of the Ministry of Health,the 3-day-correct-diagnosis rate should ≥90%.In those 18 hospitals,17 hospitals reached the standard(94.44%).Among them,the lowest was 95.8%,the highest was 100%;And the number of the hospitals with the 3-day-correct-diagnosis rate ≥96%,≥98% and 100% were 16(94.1%),9(5.3%) and 1(0.6%) respectively.Also the ways of raising of the 3-day-correct-diagnosis rate were recommanded.

关 键 词：三级甲等医院 三日确诊率 对策 

分 类 号：R197.32[医药卫生—卫生事业管理]