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目的探讨北京市某三甲综合医院2012年住院患者4778例31日内重复住院的影响因素。方法应用SPSS统计软件对重复住院患者的基本情况分布、付费方式、疾病构成等指标进行分析。结果女性重复住院率明显高于男性;医疗保险(18.6%)和公费医疗(14.5%)的患者重复住院率显著高于其他费别患者;60岁~69岁组的患者重复住院率最高,为20.6%。重复住院率前三位科室为肿瘤科(63.1%),康复科(59.4%),血液科(54.9%);重复住院率前三位的疾病为肿瘤(58.5%),循环系统疾病(10.1%),呼吸系统(9.9%)。结论影响重复住院的主要因素为年龄、病种、住院天数、性别和费别。在评价医疗质量时,根据病种情况综合分析重复住院率可作为评价指标。
Objective To investigate the influential factors of repeated hospitalizations in 4778 inpatients in a Grade A general hospital in Beijing in 31 days. Methods SPSS statistical software was used to analyze the distribution of basic information, payment methods and disease constitution of repeat inpatients. Results The repeat hospitalization rate was significantly higher in women than in men. The hospitalization rates of medical insurance (18.6%) and public medical care (14.5%) were significantly higher than those of other hospitalized patients. The hospitalization rates of patients aged 60 to 69 were the highest 20.6%. The top three recurrence rates were oncology (63.1%), rehabilitation (59.4%) and hematology (54.9%). The top three recurrence rates were cancer (58.5%), circulatory diseases (10.1% ), Respiratory system (9.9%). Conclusions The main factors influencing repeat hospitalization are age, disease type, days of hospitalization, sex and fee. When evaluating the quality of medical care, a comprehensive analysis of repeated hospitalization rates according to the kinds of diseases can be used as an evaluation index.