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目的分析新疆某三级甲等综合医院2013年超长住院天数患者的病种分布特征,为有效管理超长住院天数患者,缩短平均住院天数提供信息。方法从医院信息系统调取2013年全年出院患者信息,采用SPSS17.0以及数据透视表功能,了解超长住院天数病种分布特征。结果超长住院天数患者中排名前三类的疾病是肿瘤、循环系统与损伤、中毒和外因的某些其他后果类疾病,平均住院天数最长与平均住院费用最高的疾病是损伤、中毒和外因的某些其他后果类疾病。其中宫颈癌患者位居第一,且平均住院天数最长;胃恶性肿瘤患者平均住院费用最高。结论超长住院天数病种分布有其自身特征,以主要病种为切入点,减少超长住院天数中的可控病种,建立健全报销转院等机制,能更有效降低平均住院天数与住院费用。
Objective To analyze the distribution characteristics of disease types in patients with long hospital stay in a tertiary general hospital in Xinjiang in 2013, and provide information to effectively manage the patients with excessively long hospitalization days and shorten the average hospitalization days. Methods The information of discharged patients in 2013 was retrieved from the hospital information system. SPSS17.0 and PivotTable function were used to understand the distribution characteristics of the patients with long hospitalization days. RESULTS: The top three categories of patients with long hospital stays were those with cancer, circulatory system and some other consequences of injury, poisoning and exogenous disease. The diseases with the longest average length of stay and the average hospitalization cost were injuries, poisonings and external causes Some other consequences of disease. Cervical cancer patients ranked the first, and the average length of stay in hospital; gastric cancer patients with the highest average hospitalization costs. Conclusion The length of hospital stay has its own characteristics of disease distribution, with the main disease as the starting point to reduce the length of hospital stay in the control of diseases, establish and improve mechanisms such as reimbursement transfer can be more effective in reducing the average length of stay and hospitalization costs .