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目的探讨预住院程序对患者术前住院日、术后住院日和住院总费用的影响。方法将2013年我院乳腺肿瘤微创手术实施预住院程序的569例患者作为观察组,2012年乳腺肿瘤微创手术实施传统入院方式的529例患者作为对照组,比较两组患者的术前平均住院日、术后平均住院日和住院平均总费用。结果观察组患者术前平均住院日、术后住院日和住院总费用分别为(2.61±0.14)d、(2.23±0.19)d和(11870±203)元,对照组则分别为(3.42±0.12)d、(3.03±0.16)d和(12131±210)元,术前住院日和总住院日指标比较差异均有统计学意义(P<0.05),但总费用比较差异无统计学意义(P>0.05)。结论实施预住院程序能在医院规模、固定资本、医护人员数量不变的情况下,通过效率的提高,缩短患者总平均住院日,降低住院总费用,优化医疗资源配置,实现医院和患者的双赢。
Objective To investigate the impact of pre-hospital procedures on the preoperative hospitalization days, postoperative hospital days and total cost of hospitalization. Methods 569 patients who underwent minimally invasive breast tumor minimally invasive surgery in our hospital in 2013 were selected as observation group and 529 patients admitted to traditional minimally invasive breast cancer surgery in 2012 as control group. The preoperative average Hospital stay, average postoperative hospital stay, and average hospitalization costs. Results The average preoperative hospital stay, postoperative hospital stay and hospitalization cost in the observation group were (2.61 ± 0.14) days and (2.23 ± 0.19) days and (11870 ± 203) days respectively, while those in the control group were (3.42 ± 0.12 ), d (3.03 ± 0.16) d and (12131 ± 210) yuan respectively. There were significant differences in the index of preoperative hospitalization and total hospitalization days (P <0.05), but the total cost had no significant difference > 0.05). Conclusion The implementation of pre-hospital procedures can achieve a win-win situation between hospitals and patients through efficiency improvement, shortening the total average hospitalization days, reducing the total cost of hospitalization, optimizing the allocation of medical resources under the condition of the same hospital scale, fixed capital and medical staffs .