共查询到18条相似文献,搜索用时 109 毫秒
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目的 探讨实施当日出院制度对缩短平均住院日指标的效果,分析其作用和意义。方法 收集医院2013年度医疗数据,运用描述性统计学方法和线性回归当日出院和平均住院日的相关性进行分析。结果 2012年11月—2013年10月,全院平均住院日呈逐月下降趋势;同时住院患者当日出院比例增长明显。平均住院日和当日出院比例散点图显示相关性,线性回归分析具有统计学意义,两者呈高度负相关(r=-0.739,P=0.006)。结论 住院患者当日出院比例对平均住院日有显著影响。为进一步缩短平均住院日,相关职能部门可以采取优化流程,加快出院结算,放开住院病患当日出院服务的政策措施。 相似文献
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目的 构建以平均住院日为核心的绩效指标集,在此基础上,制定绩效目标及关键控制举措,并跟踪实际的执行效果。方法 收集2008年12月—2013年6月共计55个月的重点科室平均住院日数据,运用相关性分析和多元线性回归提取影响平均住院日的显著因素,根据模型结论,研究分析绩效控制目标和举措并进行应用。结果 现阶段有效缩短平均住院日应主要解决“收容收治比及床位资源的利用效率”两对关键矛盾,模型应用后,医院院整体平均住院日由原来的15.7天降低为11.6天,重点科室平均住院日由19.2天降低为14.6天。结论 平均住院日绩效指标集的应用有助于优化医院资源配置,达到显著提高整体运营效率的目的。 相似文献
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目的 通过开展周六手术,缩短病人平均术前等待日及平均住院日。在保证医疗质量的前提下,达到提高效率,增加产能的目的。方法 在多部门协作的基础上,开展周六手术,改变原有人力配置方式和手术流程,以配合周六手术的进行。结果 手术流程再造后,与之前同期相比术前等待日缩短25.00%, 月平均手术台次增加12.35%, 病人平均住院日降低9.22%。结论 开展周六手术,能缩短患者平均住院日和术前等待日,为患者节约宝贵的时间和金钱,在一定程度上解决了患者看病难、看病贵的问题,提高了医院的工作效率。 相似文献
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目的:分析影响平均住院日的主要因素,为综合性医院科学、有效的缩短平均住院日打下坚实的基础。方法:应用因子分析对影响平均住院日的主要因素进行重要程度的分析。结果:根据因子分析结果可知影响平均住院日的主要因素的重要程度依次为诊疗感染率、合并症与并发症管理、手术患者比例、诊疗延误、患病程度、患病种类、病床轮转率、用药安全。结论:因子分析可以对影响平均住院日的主要因素进行定量分析,可为医院缩短平均住院日提供可靠的科学依据,提高医疗服务质量。 相似文献
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目的:分析医疗指标与平均住院日的关联程度,为医院有效缩短平均住院日提供参考依据。方法:建立基于灰熵优化的加权灰色关联度模型,对影响平均住院日的医疗指标进行重要程度的分析。结果:根据关联程度分析,可知影响平均住院日的医疗指标重要程度依次为开放床位数、床位周转次数、治疗有效率、床位使用率、年门诊量、住院手术人次和出院人数。结论:基于灰熵优化的加权灰色关联分析方法可以有效分析医疗指标对平均住院日的影响程度,提高医疗服务质量。 相似文献
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????????目的 制定梗阻性分娩临床路径标准,并对实施效果进行评价。方法 采取随机分组方法,对梗阻性分娩患者分为实验组(实施临床路径)和对照组(常规治疗)。结果 实验组与对照组患者在年龄、病情、文化程度、城乡分布无显著差异(P>0.05),术前住院时间、术后住院时间及总住院时间有显著性差异(P<0.05),药费、处置费及总住院费用上有显著性差异(P<0.05),两组之间的满意度无差异。结论 梗阻性分娩中实施临床路径管理,对缩短住院时间、降低和控制住院费用、提高患者满意度方面有着重要的作用,但在路径的实施过程中也存在一些有待改进的问题。 相似文献
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目的:探讨临床路径在子宫平滑肌瘤切除术患者中的应用价值。方法:将60例子宫肌瘤切除术的患者随机均分为2组,路径组30例采用临床路径实施规范化管理,非路径组30例按照常规方法管理。比较2组患者的平均住院日、平均住院费用、患者满意度。结果:分析了两组患者的平均住院时间、平均住院费及费用构成,平均住院时间、平均住院费的对应t值分别为(4.42)、(3.52)、差异有统计学意义(P〈0.05);实验组患者满意度与对照组满意度比较,t值为(3.05),差异有统计学意义(P〈0.05)。结论:在子宫肌瘤手术的患者中应用临床路径缩短了患者的住院时间,降低了住院费用,提高了患者对医护人员的满意度,取得了良好的经济效益和社会效益。 相似文献
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目的:探讨卒中单元管理模式对卒中患者康复效果的影响,并对此进行效果评价。方法:采用统计比较的方法,依据诊断标准,选取200例脑卒中患者,平均分为对照组和普通组,从康复依从性、生活能力、心理状态、平均住院日和住院费用进行分析。结果:对两组卒中患者进行康复依从性、生活能力、心理状态、平均住院日和住院费用进行统计分析,对照组与普通组间存在较大差异,有统计学意义。结论:卒中单元管理模式对脑卒中患者的康复有促进作用。 相似文献
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A one-year cohort of patients from a defined catchment area with acute functional disorders were allocated at random to brief care (experimental group) or standard care (control group) in hospital to examine the effect of shortening hospital stay on the clinical and social functioning of patients and the distress abnormal functioning caused to others. A total of 127 patients were interviewed on entry to the study, and 106 were followed up. The brief care group had significantly shorter mean and median lengths of stay than the control group, but there was no difference between the groups in the number of days spent in hospital during subsequent admissions. The groups were well matched for clinical and social variables. Rates of improvement over 13 weeks were essentially the same by all measures of outcome, including the Present State Examination and Patient''s Behaviour Assessment Scale, which was developed for the study to measure deterioration in behaviour and social functioning and adverse effects and distress on others. There was no difference between the two groups in burden to the community supporting services, social security requirements, or GP attendances. Improvement rates were nearly identical on all measures within and across diagnostic subgroups. Brief care resulted in a 33% reduction in average length of stay compared with the year before but was associated with a corresponding increase in day hospital use. The short-stay policy continued the year after the study finished.The findings confirm the value of shortening hospital stay and improving day care facilities for most localities. 相似文献
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Suzanne H Richards Joanna Coast David J Gunnell Tim J Peters John Pounsford Mary-Anne Darlow 《BMJ (Clinical research ed.)》1998,316(7147):1796-1801
Objective: To compare effectiveness and acceptability of early discharge to a hospital at home scheme with that of routine discharge from acute hospital. Design: Pragmatic randomised controlled trial. Setting: Acute hospital wards and community in north of Bristol, with a catchment population of about 224 000 people. Subjects: 241 hospitalised but medically stable elderly patients who fulfilled criteria for early discharge to hospital at home scheme and who consented to participate. Interventions: Patients’ received hospital at home care or routine hospital care. Main outcome measures: Patients’ quality of life, satisfaction, and physical functioning assessed at 4 weeks and 3 months after randomisation to treatment; length of stay in hospital and in hospital at home scheme after randomisation; mortality at 3 months. Results: There were no significant differences in patient mortality, quality of life, and physical functioning between the two arms of the trial at 4 weeks or 3 months. Only one of 11 measures of patient satisfaction was significantly different: hospital at home patients perceived higher levels of involvement in decisions. Length of stay for those receiving routine hospital care was 62% (95% confidence interval 51% to 75%) of length of stay in hospital at home scheme. Conclusions: The early discharge hospital at home scheme was similar to routine hospital discharge in terms of effectiveness and acceptability. Increased length of stay associated with the scheme must be interpreted with caution because of different organisational characteristics of the services.
Key messages
- Pressure on hospital beds, the increasing age of the population, and high costs associated with acute hospital care have fuelled the search for alternatives to inpatient hospital care
- There were no significant differences between early discharge to hospital at home scheme and routine hospital care in terms of patient quality of life, physical functioning, and most measures of patient satisfaction
- Length of stay for hospital patients was significantly shorter than that of hospital at home patients, but, owing to qualitative differences between the two interventions, this does not necessarily mean differences in effectiveness
- Early discharge to hospital at home provides an acceptable alternative to routine hospital care in terms of effectiveness and patient acceptability