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目的查明住院患者自动出院的原因,为制定相应的措施提供依据。方法回顾性调查2008年自动出院患者的原因。结果 2008年自动出院2489例,自动出院率为19.46%。自动出院原因为自觉症状好转(58.74%),要求转院治疗(12.05%),经济困难(10.49%),拒绝检查和治疗(9.32%),择期治疗(5.42%),放弃治疗(3.96%)。结论医院做好住院患者及家属的健康教育和医患沟通工作,提高医院的医疗水平,降低医疗费用,是降低患者自动出院率的重要措施。
Objective To find out the reason of hospitalized patients discharged automatically and provide the basis for formulating corresponding measures. Methods Retrospective investigation of the causes of spontaneous discharge in 2008. The results of 2489 cases were discharged automatically in 2008, the automatic discharge rate was 19.46%. The reasons for spontaneous discharge were improvement of symptoms (58.74%), transfer to hospital (12.05%), financial difficulties (10.49%), refusal to check and treatment (9.32%), elective treatment (5.42%) and abandonment of treatment (3.96%). Conclusion The hospital is good at health education and communication between doctors and patients in hospitalized patients and their families. It is an important measure to reduce the rate of hospital discharge automatically to improve the medical care level and reduce the medical expenses.