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目的分析某院2014年超长住院日患者特征,为医疗管理部门提供决策依据。方法从某院2014年住院病案首页中获取资料,对提取的871例超长住院病例进行回顾性分析。结果超长住院病例中,新农合和城镇职工医保的付费方式占比最大;81.63%的超长住院病例伴随其他疾病;18.6%的超长住院病例的术前住院天数大于或等于10天;疾病构成中排名前三位的是损伤与中毒、影响健康状态和与保健机构接触的因素和循环系统疾病。结论针对不同原因采取相应措施控制超长住院,以缩短平均住院日。
Objective To analyze the characteristics of patients with long hospital stay in a hospital in 2014 and provide decision basis for medical administration. Methods The data were obtained from the first page of a hospital inpatient medical record in 2014 and the retrospective analysis of 871 cases of extra-long hospitalized patients. Results Among the overlong hospitalized cases, the new rural cooperative medical care and urban workers covered the highest proportion of medical insurance; 81.63% of overlong hospitalized cases were accompanied by other diseases; 18.6% of overlong hospitalized cases had preoperative hospitalization days of 10 days or more; The top three components of the disease are injuries and intoxication, factors affecting health status and exposure to healthcare facilities, and circulatory diseases. Conclusion For different reasons, take appropriate measures to control the long hospitalization in order to shorten the average length of stay.