重点疾病非计划重返住院的影响因素分析

目的 研究某三甲综合医院2012年18类重点疾病非计划重返住院的影响因素。方法 对样本院2012年18类重点疾病7 406例患者进行分析，研究其出院后15天、31天非计划重返住院的原因。 结果 9类疾病33名患者出现了非计划再次入院情况，慢性病和60岁以上老年人更有可能非计划重返住院，患者出院时疾病状态、出院主张、病情加重或病情复发、住院天数等是影响非计划重返住院的主要因素。 结论 要从熟练掌握相关疾病的临床治愈好转标准，加强医患沟通，加强健康宣教，加强出院随访等方面来提高医院的医疗质量。

Analysis of Factors of Non-planned Re-inpatients with Priority Diseases

Objective To investigate the risk factors of non-planned readmission of patients with eighteen kinds of diseases in the top three general hospital. Methods The analysis of 7406 patients with appointed diseases was performed to study the factors that make patients non-planned readmission 15 and 31 days post-discharge. Results 33 cases of 9 kinds of diseases got non-planned readmission. Patients with chronic diseases or aged more than 60 years would be more likely to return the hospital with no plan. Condition and demand side of discharge, the disease recurrence or worse and length of stay are main risk factors of non-planned readmission. Conclusion Mastering the standards of clinic outcome of relevant diseases, strengthening the doctor-patient communication, reinforcing health education and completing follow up could improve the medical quality of hospital.