住院患者“一日清单”在干部病房实施中存在的问题分析与对策

Issues of everyday expenses list used in cadre wards and the countermeasures

目的 探讨一日清单在干部病房实施过程中存在的问题，并制订相应的对策，减少医患纠纷，提高患者满意度。方法 选择2012年7～9月在本科室住院的74例患者作为对照组，分析一日清单在实施过程中存在问题，制订相应对策，采取干预对策后选择2012年10～12月78例患者作为观察组。比较干预前后两组患者自费耗材不清晰，漏费而补记，未及时退费，替代收费，对治疗护理项目收费不认可，项目明细不清情况。结果 干预前后两组患者在自费耗材不清晰、漏费而补记、未及时退费项目方面比较，差异具有统计学意义（均P＜0.05），干预后明显优于干预前。结论 对干部病房实施一日清单存在问题进行分析，采取针对性对策，可维护院、患双方的利益，让患者放心治病、明白消费，减少医患纠纷，提高患者满意度。

Objective To explore the issues of everyday expenses list used in the cadre wards and find out countermeasures for the purpose of reducing medical disputes and improving the patients’satisfaction.Method Seventy-four patients admitted in our department from July to September 2012 were set as control group,where an investigation was conducted to find out the issues in the practical use of every expenses list and corresponding measures were worked out and used in observation group,which included 78 patients admitted in the department from October to December 2012.The two groups were compared in terms of self-paid articles, re-recording of missed expenses,failure to timely refunding,charging by other means,disagreement on curative nursing items and unclear items for charging.Result The observation group was significantly better than the control in self-paid articles,re-recording of missed expenses and failure to timely refunding（all P〈0.05）.Conclusions There are some issues in the use of everyday expenses list in the cadre wards.We should take corresponding countermeasures to ensure the interests of the hospital and the patients and the enhanced degree of patients’comfort.