笔者阅读和研究了国内外有关文献,认为,有效地缩短住院日,必须突破“点思维”方式(即单纯地在住院部内部各环节中考虑),建立“网状思维”方式(即综合地建立整个社会各级医疗机构联盟和医院内部门诊住院部有机联系的工作链)。建议:(1)卫生行政部门抓住医院分级管理的内涵和机遇,加强卫生区域规划,建立区域性医疗联盟,使医疗体系系统化;(2)根据自身的特点和收治病人的需求,实施医疗工作部分地从住院部向门诊部转移。 The author has read and studied relevant literature at home and abroad, and believes that effectively shortening the length of hospital stay must break through the “point of thinking” approach (that is, simply considering all links within the inpatient department) and establish a “net-like thinking” approach (ie, comprehensively Establish a working chain that links the alliance of medical institutions at all levels and the in-patient department of the hospital’s internal departments. Recommendations: (1) The health administrative department seizes the connotation and opportunities of hierarchical management of hospitals, strengthens the planning of health districts, establishes regional medical alliances, and systemizes the medical system; (2) Implements medical care according to its own characteristics and the needs of patients admitted and treated. The work was partially transferred from the inpatient department to the outpatient department.