上海市第六人民医院骨科缩短平均住院日的几点探讨

Discussion on reducing ALOS of orthopedics in Shanghai Sixth People' s hospital

目的:分析上海市第六人民医院骨科缩短平均住院日的成效及社会和经济效益,以及病种结构变化对平均住院日的影响。方法:采用描述性统计的方法分析骨科平均住院日变化情况,相关分析研究平均住院日和日均费用的关系,最后运用代数方法分析骨科病种结构变化和各病种住院日的变化对科室平均住院日的影响。结果:骨科次均费用增加主要是由于应用了新技术和新材料引起的;大多数病种的平均住院日长短与日均费用的高低呈负相关关系;科室平均住院日缩短主要是由病种住院日缩短引起的。结论:骨科缩短平均住院日成效显著,一方面,患者收治数量大幅增加,扣除贵重材料费后的次均费用降低,提高了社会效益;另一方面各病种的日均费用增加。

Objectives： To evaluate the result of reducing ALOS of orthopedics and its effect on social benefit and hospital＇s economicrevenue, and study the effect of disease structure variation on ALOS. Methods： Through descriptive analysis to analyze the change of ALOSof orthopedics, correlation analysis was used to study the correlation between ALOS and fee per time; finally, algebra method was used toanalyze the effect of disease structure variation on ALOS. Results： The increase of patients＇ fee per time was due to the application of newtechnology and new materials; the correlation of most disease＇s ALOS and fee per day was negative; the reduction of ALOS in orthopedicswas caused by the reduction of each disease＇s ALOS. Conclusions： Orthopedics made progress in reducing ALOS, on the one hand, it admittedmore patients, decreased fee per time not considering costly materials, and raised social benefit; on the other hand, fee per day was increased.