摘要
目的:探讨住院日超常缩短现象的内在原因及其规律,为医疗管理部门提供决策依据。方法:收集3所三级甲等医院2000年1月1日至2003年12月31日201 501份病案、216个病种和308个病例组合,采用SAS6.12,进行描述性统计分析与评价。结果与讨论:住院日是一个适度性指标,如果单纯追求住院日的降低,对住院日超短现象不能引起足够的重视,势必影响医院医疗技术的含金量和治愈率,同时也不能真实反映住院者的平均住院日。
Objective The paper discussed the reason and rule of supernormal cutting of hospitalization days and put forward decision-making bases for medical management section. Method We collected 201 501 files, 216 kinds of diseases and 308 cases of 3 tertiary-A hospitals from Jan, 1st,2000 to Dec,31st,2003,and took descriptive statistic analysis and evaluation by SAS6,12. Result Health examination was the most among the cases of supernormal cutting of hospitalization days,accounting for 31. 43 percent;The costs of hospitalization was about 3-5 thousands yuan and serious cases were lesser. The cases of supernormal cutting of hospitalization days had stronger influence to average hospitalization days. Conclusion The hospitalization days is a moderate indicator, if we only request decrease of hospitalization days and don' t pay attention to the phenomenon of supernormal cutting of hospitalization days, it will affect quality of medical technique and cure rate of hospital,at the same time.it can't really reflect average hospitalization days.
出处
《中国医院管理》
北大核心
2004年第5期24-25,共2页
Chinese Hospital Management
关键词
医疗质量
病例分型
住院日
<Keyword>medical quality,kinds of cases,hospitalization days