论文部分内容阅读
目的:探讨基层医院内科病人提早出院的相关因素,将存在的问题反馈给相关部门,同时进一步加强医院管理。方法:从浙江省天台县龙溪乡卫生院内科抽取从2012年2月~2013年5月期间每月月末出院患者共计180份病历,将其中提前出院与正常出院者进行对比,并将年龄、性别、居民属性、保险分类、疾病严重性、住院天数和住院总费用7项作Logistic回归分析。结果:提早出院者89例,占总出院患者人数49.44%;正常出院与提前出院者在年龄、居民属性、保险分类、疾病严重性、住院天数和住院总费用上存在差别(P<0.05)。城镇居民40岁以下有医保者提早出院率低,二者呈负相关,OR在0.168~0.339;疾病越重提早出院率越高,二者呈正相关。其余两项无显著差异。结论:患者的家庭经济状况和医疗保障水平是影响患者提早出院与否的关键原因。
OBJECTIVE: To explore the factors related to the early discharge of medical patients in primary hospitals and to feedback the existing problems to related departments, and to further strengthen the management of hospitals. Methods: A total of 180 medical records were collected from the end of each month from February 2012 to May 2013 from Longxi Township Hospital of Tiantai, Zhejiang Province, and compared with those of normal discharges. The age, Logistic regression analysis was performed on 7 items of gender, resident attribute, insurance classification, disease severity, days of hospitalization and total cost of hospitalization. Results: There were 89 early discharges and 49.44% total discharges. There was a significant difference in age, resident attribute, insurance classification, disease severity, hospitalization days and hospitalization costs between normal discharge and early discharge (P <0.05). The rate of early discharge of urban residents who have health insurance under 40 years old is low, the two are negatively correlated, OR is between 0.168 and 0.339. The higher the rate is, the higher the rate of early discharge is, and the two are positively correlated. The remaining two no significant difference. Conclusion: The patient’s family economic status and medical security level are the key factors that influence the early discharge of patients.