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目的通过对1806例病案首页填写为未治出院患者的原因分析,探讨如何减少未治患者数量。方法对2013年病案首页填写为未治患者的疾病谱、科室分布及未治原因方面入手进行回顾性统计分析。结果患者未予未治的原因由于医院方面原因造成的高于患者方面,为70.04%。未治患者的疾病前三位的是神经系统、肿瘤及眼和附器疾病。耳鼻喉科、眼科、特需病房未治人数占出院人数的10%以上,比例较高。结论要加强院前检查治疗,加强科间合作;注重医患间有效沟通,造就患者对医院的信任感;加强专科建设,提高医院诊疗水平,增加医院吸引力;同时规范病案首页的填写,采取有效措施,减少未治患者在出院患者中的比例。
Objective To investigate how to reduce the number of non-cured patients by filling in the first page of 1806 cases of medical records as the cause of discharged patients. Methods The retrospective statistical analysis of the disease spectrum, the distribution of departments and the causes of the unacceptable cases was completed on the front page of the medical records in 2013. Results The percentage of patients who had not been cured was 70.04% higher than that of patients due to hospital reasons. The top three diseases of unaccounted patients are the nervous system, the tumor and the diseases of the eye and appendage. ENT, ophthalmology, special needs ward number accounted for more than 10% of the number of discharged, a higher percentage. Conclusion To strengthen pre-hospital examination and treatment, strengthen inter-departmental cooperation; pay attention to effective communication between doctors and patients to create a sense of trust in patients; to strengthen specialist construction, improve hospital treatment and increase the hospital’s attractiveness; meanwhile standardize the first page of medical records to take, take Effective measures to reduce the proportion of patients not discharged in the discharge of patients.