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目的在我国积极推进分级诊疗的背景下,研制可准确测算大型医院内可分流至康复机构的住院病人数量的方法。方法基于华东某大型城市当地居民的就医基础数据进行方法学实证模拟,构建大型医院可分流至康复机构的住院病人数据库。结果华东某大型城市可下沉至康复机构的数量为5.6万人次,总下沉住院日为55.4万天,可节省费用11.7亿元。结论测算方法与结果受专家认可,可为当地政府合理利用床位资源、明确分级诊疗潜力和评价分级诊疗政策的实施效果提供科学性的支撑和参考。
Objective To develop a method that can accurately estimate the number of inpatients in large hospitals that can be diverted to rehabilitation institutions under the background of active promotion of grading in our country. Methods Based on the empirical methodological simulation of the basic medical treatment data of local residents in a large city in East China, a database of inpatients in large hospitals that can be diverted to rehabilitation institutions was constructed. As a result, a large-scale city in east China could sink to 56,000 people for rehabilitation and the total number of hospital stays was 554,000 days, saving 1.17 billion yuan. Conclusion The calculation method and result are approved by experts, which can provide scientific support and references for the local government to make rational use of bed resources, clarify the potential of clinical diagnosis and treatment, and evaluate the implementation effect of grading diagnosis and treatment policies.