论文部分内容阅读
本次研究使用Restuccia提出的“适宜住院日判断标准”对4个择期手术病种共2487个住院日的合理性(适宜性)进行了分析与评价。实践表明,该标准比国内曾经使用过的标准更为科学,且具有简便、实用、经济的特点。在被调查的2487个住院日中,适宜住院日1735天(55.29％),非适宜住院日1112夭(44.71％)。出现非适宜住院日的原因主要有两个:一是患者入院初期进行的各种常规检查和化验绝大多数并不需要住院(在门诊)就可以完成;二是住院流程各阶段(环节)之间的衔接不够紧密。
In this study, Restuccia’s “suitable hospitalization day judgment standard” was used to analyze and evaluate the rationality (appropriateness) of 4487 elective surgical procedures for a total of 2487 hospitalization days. Practice shows that this standard is more scientific than the ones used in the country, and it is simple, practical, and economical. Of the 2487 hospitalization days surveyed, 1735 days (55.29%) were suitable for the hospitalization day, and 1112 (44.71%) were not suitable for the hospitalization day. There are two main reasons for the emergence of non-adequate hospitalization days: First, the vast majority of routine examinations and tests performed at the beginning of admission do not require hospitalization (in the outpatient setting); the second is the hospitalization process (stages). The convergence between the two is not close enough.