总额预付制对妇科住院患者医院感染率的影响

Global Budget's Influence on Nosocomial Infection Rate of Gynecological Patients

目的:探讨总额预付制度对妇科住院患者医院感染率的影响。方法:选取某三级综合医院2012年6月-2013年5月年妇科5534例住院患者,其中总额预付制患者3138例,设为观察组;非总额预付制患者2396例,设为对照组。利用综合性监测方法,对其医院感染情况进行调查分析。结果:观察组与对照组医院感染率分别为0.70%、0.67%,差异无统计学意义(X^2=0.11,P>0.05);观察组医院感染以呼吸道感染最为常见,对照组以泌尿道感染最为常见。两组医院感染的危险因素主要包括泌尿道插管、使用呼吸机、动静脉插管、化放疗等。观察组与对照组相关危险因素比例分别为90.91%、62.50%,差异有统计学意义(X^2=4.17,P<0.05)。结论:总额预付制度的实施对妇科住院患者医院感染率未产生明显影响,未降低患者的医疗质量。

Objective： To explore global budget＇s influence on nosocomial infection rate of gynecological patlents.Method： 5534 gynecological patients in a three-level comprehensive hospital from June 2012 to May 2013 were selected, and 3138 patients of global budget were divided into the observation group, 2396 patients of non-global budget were divided into the control group.Two groups＇ nosocomial infection rate were investigated and analyzed by comprehensive monitoring method.Result： Nosocomial infection rate in the observation group and control group were 0.70% and 0.67%, yet there was no statistical difference （ x^2=0.11, P〉0.05 ） .Respiratory tract infection was main section of the observation group, and urinary tract infection was main section of the control group.Urinary catheter, breathing machine, arteriovenous intubation, radiotherapy and chemotherapy were the most risk factors of nosocomial infection, and proportion of the observation group and control group were 90.91% and 62.50%, there was statistical difference （ x^2=4.17, P〈0.05 ） .Conclusion： Global budget＇s implementation does not affect nosocomial infection rate of gynecological patients, and does not reduce the medical quality.