论文部分内容阅读
目的:通过对我院2016年住院日超60天病例的统计分析,了解住院日延长的原因,为医院管理部门提供决策依据。方法从我院2016年出院患者的病案首页信息,收集住院超过60天住院病例资料进行回顾调查分析。结果:科室分布前6位的科室为:神经外科、肿瘤放疗科、骨科、康复医学科、烧伤整形外科、ICU;支付方式以城镇职工居民基本医疗保险为主,占全部支付方式的42.51%,其次为全自费占30.36%,城镇居民基本医疗保险占24.29%。病种构成前三位为损伤和中毒、神经系统疾病、恶性肿瘤。结论:引起住院日超长的主要原因为疾病病种和手术,对于手术病人要严格控制非计划重返手术和手术后并发症的发生;对治疗和康复时间较长的病人,医院应建立康复患者的出院标准,与社区医院建立良好的转院机制,对符合出院的患者可进入社区医院进行进一步的康复治疗和康复训练,在保证患者安全的前提下,有效缩短住院日。
OBJECTIVE: Through the statistical analysis of the cases of over 60 days of hospitalization in 2016 in our hospital, we can understand the reasons for the extension of hospitalization days and provide the decision-making basis for hospital management. Methods From the first page of medical records of discharged patients in our hospital in 2016, we collected the data of inpatients over 60 days for retrospective investigation. Results: The departments of the top six departments were: Department of Neurosurgery, Department of Radiation Oncology, Department of Orthopedics, Rehabilitation Medicine, Burn and Plastic Surgery, ICU. The payment was mainly based on the basic medical insurance for urban workers and residents, accounting for 42.51% of the total payment, Followed by 30.36% for own expenses and 24.29% for urban residents’ basic medical insurance. The top three diseases constitute injury and poisoning, nervous system diseases and malignant tumors. Conclusion: The main causes of long hospitalization days are diseases and surgical procedures. Surgical patients should strictly control unplanned re-operation and postoperative complications. For patients with longer treatment and rehabilitation time, the hospital should establish rehabilitation Patient discharge standards, and community hospitals to establish a good transfer mechanism, out of patients can enter the community hospital for further rehabilitation and rehabilitation training, to ensure patient safety, shorten the hospital stay effectively.