普通外科常见手术病种住院流程重组类实验研究

A quasi-experimental research on hospitalization process recombination for common disease entities in general surgery

目的 在确保医疗服务质量的前提下 ,通过住院流程重组 ,缩短单病种平均住院日 ,提高医院的竞争实力。方法 采用作业流程重组理论中“系统性重新整合”的方法对普通外科常见手术病种的住院流程进行重组。结果 重组后 2 0 0 0年研究病种的病人出院人数比重组前 1999年增加 14 78% ;平均住院日缩短 3 83天 ,缩短了 2 1 5 8% ;病人平均住院费用减少 10 8元 ,减少了 1 18% ;医疗业务收入增长 13 43%。结论 住院流程重组可以在医疗服务资源基本不变的条件下 ,提高医疗服务的质量和效率 。

Objective To shorten the average length of stay for single disease entities and enhance the hospitals competitiveness through hospitalization process recombination while guaranteeing the quality of its medical service. Method The method of 'systematic reintegration' from the theory of operation process recombination was adopted to recombine the hospitalization process for common disease entities in general surgery. Result After the recombination, the number of discharged patients with disease entities covered by the year 2000 research increased by 14.78%, the average length of stay was shortened by 3.83 days, a reduction of 21.58%, the average hospitalization fees incurred on the patients were reduced by 108 yuan, a reduction of 1.18%, and the business income increased by 13.43%, as compared with 1999, when recombination was not yet initiated. Conclusion Hospitalization process recombination can improve the quality and efficiency of a hospitals medical service and increase its business income while its medical service resources remain unchanged.