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目的分析减少一天住院日对医院经营效果的影响。方法从深圳市某三甲医院数据仓库中提取病案首页数据和HIS数据,对出院病人的费用情况与住院日进行统计分析。结果病人前3天与末3天的费用差78118030元,医院全部科室的前3天费用均高于后3天费用;减少一天住院日,全院出院人数将增加4755人;减少一天住院日,全院收益将增加38196544元;减少一天住院日增加的收益中,高附加值项目多于低附加值项目。结论病人费用主要在住院前几天产生,减少一天住院日能增加医院出院人数,增加医院收益,医院在确保医疗质量和医疗安全的前提下应尽量缩短平均住院日。
Objective To analyze the effect of reducing the hospitalization day on the hospital operation effect. Methods The first case data and HIS data were extracted from the data warehouse of a top three hospital in Shenzhen, and the costs of discharged patients and hospitalization days were statistically analyzed. Results The cost of the first 3 days and the last 3 days was 78118030 yuan, the costs of the first 3 days of all the departments in the hospital were all higher than those of the last 3 days. If the hospitalization day decreased by 1 day, the number of hospital discharges would increase by 4755; The hospital income will increase 38196544 yuan; reduce hospitalization day gain, high value-added projects more than low value-added projects. Conclusions The patient costs mainly occurred a few days before hospitalization. Reducing the day of hospitalization can increase the number of hospital discharges and increase hospital revenue. The hospital should try its best to shorten the average length of stay while ensuring the medical quality and medical safety.