腰椎间盘突出手术合理住院流程与平均住院日探讨

应用业务流程重组原理,对首都医科大学附属北京朝阳医院1998年腰椎间盘突出手术住院流程进行研究分析。结果表明:该住院流程总体效率不错,但也存在一些问题,如患者术前检查化验时间过长,等待手术时间过长,部分患者术后恢复时间过长等。对原住院流程进行重组,可在保证医疗质量的前提下缩短平均住院日,多收病人入院,增加医院收入,减轻患者的经济负担。本次研究表明,按合理性和适宜性标准对原住院流程进行重组,腰椎间盘突出手术平均住院日可分别缩短3,4天和8,32天,日均费用可分别提高68.59元和169.71元,人均费用可分别降低272.07元和1471.57元,全年可多收病人14人和47人,多收住院费107 340.3元和155891.7元。

According to business process re - engineering theory, we studied and analysed hospitalization process of displacement of vertebral disc lumber in 1998 in the journal of beijing chaoyang hospital affiliate of capital university of medical sciences. The result shows: the efficiency of the process was good in general, but there were a few problems, such as long time of waiting the chemical examination before operation, long time of waiting before operation, long time of regain after operation, ect, they made average length of hospital stay( ALOHS)a little longer and expense a little more. Re - engineering the primary process, in the condition that it does not affect medical quality, can shorten ALOHS, accept more patients to the hospital,add hospital income and reduce economical burden of patients. And this study shows: according to equitable standards or criteria of appropriateness, reengeering the primary process, ALOHS of of vertebral disc lumber can separately shorten 3.4 day or 8.32 days, everyday expense can separately add 68.59 yuan or 169. 71 yuan,and everyone expense can separately shorten 272.07 yuan or 1471.57 yuan;in a year the hospital can separstely accept 14 or 47 patients more,and can separately gain 107340.3 yuan or 155891.7 yuan more.