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目的通过某郊区二级医院近2年出院患者的病案首页数据统计分析,了解超长住院患者对平均住院日的影响。方法将出院患者住院日的第99百分位数及以上定义为超长住院,调取2012年1月到2013年12月出院患者的病案首页信息,计算超长住院日。对超长住院患者进行统计分析,了解其对平均住院日的影响及分布情况。结果 139例超长住院患者中,付费方式前2位的是医疗保险和新农合,分别占46.8%和25.2%;出院科室第一位的是骨科,占46.8%;出院主要诊断第一位的是腰椎间盘突出,占20.9%。结论超长住院患者对平均住院日影响巨大,探索超长住院患者的有效管理机制,对缩短平均住院日,合理利用医疗资源有重要意义。
Objective To analyze the impact of long hospitalized patients on the average length of stay by analyzing the first page of statistical data of medical records of discharged patients in a suburban secondary hospital in recent 2 years. Methods The 99th percentile of hospitalized days of discharge and above were defined as overlength hospitalization and the first page of medical records of discharged patients from January 2012 to December 2013 were retrieved to calculate the length of stay. The long hospitalized patients were analyzed statistically to understand their impact on the average length of stay and distribution. Results Of the 139 long hospitalized patients, the top two paid doctors were medical insurance and NRCMS, accounting for 46.8% and 25.2% respectively. The first outpatient department was orthopedic, accounting for 46.8% The lumbar disc herniation, accounting for 20.9%. Conclusion Long hospitalized patients have a great impact on the average length of stay. To explore the effective management mechanism of long hospitalized patients is of great significance for shortening the average length of stay and rational utilization of medical resources.