手术操作科室单病种平均住院日与平均费用的研究

Study on average length of stay and average hospitalization expenses of single diseases in surgery departments

目的:通过对心内科、普外科、妇产科等3个涉及手术操作的科室的单病种平均住院日与平均费用的分析,提高单病种管理水平。方法:采用Excel对数据进行整理,以图表的形式进行描述性分析。结果:3个科室平均住院日都有不同程度的下降,心内科下降天数和降幅最大,分别为7.64天和51.62%,妇产科下降天数和降幅最小,分别为3.63天和35.04%。代表性单病种平均住院日都有不同程度的下降,变化趋势相似。代表性单病种平均住院费用变化各不相同。结论:代表性单病种平均住院日的缩短是相应科室的平均住院日缩短的主要原因,而平均住院日并非单病种平均住院费用的决定性因素,不断提高技术水平是进一步加强单病种管理水平的基础。

Objectives： To improve management of single diseases through analysis of average length of stay and average inpatient expenses of single diseases in departments involve surgery, such as Department of Cardinlogy. Department of General Surgery and Department of Gyneeoh,gy Obstetrics. Methods： Descriptive analysis methods were used and data analysis tool was Excel. Results： The average length of stay in the three departments （Department of Cardiology, Department of General Surgery and Department of Gynecology Obstetries） all decreases. Department of Cardiology is the greatest. The average length of stay has decreased 7.64 days hy 51.62% Department of Gynecology Obstetries is the slightest. The average length of stay has decreased 3.63 days by 35.04% Similar trends can be seen in representative single diseases. The average cost of hospitalization of representative single diseases varies from each other. Conelusions： Shorter average length of stay in representative single diseases is the main reason of the decreasing of average length of stay in related departments. And the average length of stay is not the decisive factor of average hospitalization expenses. Therefore, the improvement of medical treahnent is the prerequisite of better management of single diseases.