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[目的]了解超长住院日形成原因,为医疗管理部门有效缩短平均住院日提供参考依据。[方法]收集2015年1月1日至2015年6月30日医疗统计系统资料,对超长住院患者(住院时间≥30天)进行统计分析。[结果 ]超长住院患者主要集中在40~59岁(52.99%)和60~79岁(36.23%),主要病种是肺恶性肿瘤(18.16%)、乳腺恶性肿瘤(18.11%)和宫颈恶性肿瘤(16.19%)。治疗方式是影响超长住院时间的独立危险因素。[结论 ]规范诊疗行为、优化住院诊疗和服务流程、加强围手术期管理是减少住院时间的重要途径。
[Objective] To understand the causes of over-length hospitalization days and provide reference for effective shortening of the average length of stay in medical administrations. [Methods] The data of medical statistics system from January 1, 2015 to June 30, 2015 were collected, and the data of over-long inpatients (hospitalization ≥30 days) were collected for statistical analysis. [Results] The length of hospitalized patients was mainly between 40 to 59 years old (52.99%) and 60 to 79 years old (36.23%). The main diseases were malignant lung cancer (18.16%), malignant breast cancer (18.11%) and malignant cervical Tumor (16.19%). Treatment is an independent risk factor for long hospital stays. [Conclusion] To standardize the diagnosis and treatment behavior, optimize the inpatient treatment and service flow, and strengthen perioperative management is an important way to reduce the length of hospital stay.