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近几年来,我国医院的平均住院日呈明显上升趋势,浪费了卫生资源的利用。卫生事业“八五”计划第28项指标要求县及县以上医院平均住院床日1995年比1989年减少2天,2000年再减少2天。为此,本课题抽查了武汉市同济医院普外科病种胃癌手术病历100份,系统地描述和分析了胃癌患者的住院处置过程,临床质量转归变化和医药费用规律,揭示它们的相互关系及影响因素,探讨缩短住院日的可行性,进而提出对策。
In recent years, the average length of stay in hospitals in our country has shown a clear upward trend, wasting the use of health resources. The 28th index of the “8th Five-Year Plan” of the health service requires that hospitals at or above the county level should reduce the average hospital bed date by 2 days in 1995 compared with 1989, and then decrease by another 2 days in 2000. To this end, this project randomly investigated 100 cases of surgical records of gastric cancer in Tongji Hospital, Wuhan City, and systematically described and analyzed the hospitalized treatment process of gastric cancer patients, changes in clinical quality, and changes in medical costs, and revealed their mutual relations. Influencing factors, exploring the feasibility of shortening the length of stay, and then put forward countermeasures.