缩短平均住院日对医疗质量与效益的影响

被引:30
作者
周汉新
王新民
贺务实
机构
[1] 暨南大学第二临床医学院(深圳市人民医院)
关键词
平均住院日; 医疗质量; 工作效率; 病人费用;
D O I
10.13912/j.cnki.chqm.2006.02.006
中图分类号
R197.3 [医院、综合医院];
学科分类号
摘要
目的观察缩短平均住院日对医疗质量、工作效率、病人费用、医院员工收入的影响。方法通过充分调研,找出影响平均住院日的主要因素(如检查预约、手术室紧缺和利用不充分等)。周密实施并采取必要的激励机制。结果平均住院日缩短在1.7天(由11.4天降至9.7天)的同时,工作效率提高,门急诊人次和出院病人数增加,医疗质量指标改善,病人费用降低而满意度提高,医院和员工收入提高。结论缩短平均住院日可提高医疗质量和工作效率,在降低病人费用的前提下通过增加工作量来提高医院和员工收入。
引用
收藏
页码:11 / 13
页数:3
相关论文
共 6 条
[1]  
The impact of an inpa- tient physician program on quality,utiliza- tion,and satisfaction. Halpert AP,Pearson SD,LeWine HE,etal. American Journal of Managed Care . 2000
[2]  
Managing hospital length of stay reduction:a multihospital approach. Lagoe RJ,Westert GP,Kendrick K,etal. Health Care Manage Rev . 2005
[3]  
Using clinical practice analysis to improve care. Englert J,Davis KM,Koch KE. Joint Commission Journal on Quality Improvement . 2001
[4]  
Laparo- scopic transperitoneal colposuspension mo- do Burch in stress incontinence in women.A comparison of early and late results. Huk J,Fryczkowski M. Przeglad Lekarski . 2002
[5]  
Imple- mentation of a clinical pathway in manage- ment of the postoperative vestibular schwannoma patient. Stidham KR,Roberson JB. Laryngoscope . 2001
[6]  
Is time- slice analysis superior to total hospital length of stay in demonstrating the effec- tiveness of a month-long intensive effort on a medicine service. Bellin E,Kalkut G. Quality Management in Health Care . 2004