摘要
目的采用病案首页信息数据,对择期手术术前平均住院日的影响因素进行分析,为提高医院的管理水平、整体服务效率和医疗服务质量,降低患者的经济负担,提供统计分析依据。方法数据处理采用描述性统计、两独立样本t检验及单因素方差分析方法。结果符合条件的病例数共24,538例,患者在年龄和不同时间入院,其术前平均住院日总体上有显著性统计差异(P<0.05);5种伴随病的术前平均住院日均有显著性统计差异(P<0.05)。结论年龄与伴随疾病是术前平均住院日的重要影响因素,入院前风险评估以及医院政策制定直接影响术前住院日,所以合理配备医院资源,大力开展日间手术和临床路径管理工作,达到提高工作效率,缩短术前平均住院日的目的。
Objective To analyze the influencing factors of the average stay in hospital before selective operation through the first page of medical record information, thus can provide statistical basis for raising the management level of the hospital, the efficiency and quality of the medical services. Methods The data was processed with descriptive statistics, two sample t - test for independent samples and one-way analysis of variance. Results 24538 records were available under the condition. The average stay in hospital be- fore operation has significant statistical difference for different age and different date of admission（ P 〈 0.05） ; Five concomitant dis- eases average stay in hospital before operation have significant statistical difference for different age and different date of admission（ P 〈 0.05） ; Conclusions Age and concomitant diseases are two important influential factors of the average stay in hospital before selec- tive operation. Risk assessment before admission and the hospital policy can influence the average stay in hospital before operation. The average stay in hospital before selective operation can be shorten through reasonably providing the resource, promoting daysurgery and clinical pathway management.
出处
《中国病案》
2013年第4期25-27,共3页
Chinese Medical Record
关键词
术前住院日
影响因素
医院管理
Average length of stay pre-operation
Influential factors
Hospital management
