非计划再住院的界定与控制策略

Definition and Control Strategies of Unplanned Readmissions

非计划再住院率是我国医疗机构质量监测和评价的重要指标之一。本文分析了3个典型国家(美国、英国、德国)对再住院的评价及控制策略。国际经验表明,减少非计划再住院是控制医疗费用增长、提高医疗服务质量的关键,应根据政策目标清晰界定再住院的内涵、测量标准及风险调整因子,并通过对再住院的系统性研究,从公共政策、医院、患者多层面建立基于证据的再住院综合管理策略。

Unplanned readmission rates in public hospitals have been listed as key indicators for monitoring health care quality.In this study,we analyzed the readmissions evaluation and control strategies in the United States,the United Kingdom and Germany.International experience has shown that reducing unplanned readmission is key to controlling the increase of medical costs and improving medcial service quality.It is suggested to clear the definition,evaluation standard,and risk-adjusted factors of unplanned readmission according to goal of public policy.Furthermore,it is necessary to establish evidence-based comprehensive intervention strategies of unplanned readmission from the perspective of public policy,hospital and patients.