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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:

32卷

期数:

2019年14期

页码:

135-137

栏目:

调查分析

出版日期:

2019-07-15

文章信息/Info

Title:

Distribution Characteristics and Causes of Patients with Hospitalization for more than 30 Days

文章编号:

1006-1959（2019）14-0135-03

作者:

韩焕菊

苏州大学附属第一医院医务管理处，江苏 苏州 215000

Author(s):

HAN Huan-ju

Department of Medical Administration,the First Affiliated Hospital of Suzhou University,Suzhou 215000,Jiangsu,China

关键词:

住院时间; 超过30天患者; 分布特征

Keywords:

Key words：Hospitalization time; More than 30 days of patients; Distribution characteristics

分类号:

R197.323

DOI:

10.3969/j.issn.1006-1959.2019.14.043

文献标志码:

A

摘要:

目的 分析2015~2017年住院时间超过30天患者基本信息，为医院对住院时间超过30天患者进行科学管理，缩短住院时间提供科学依据。方法 运用医院病案管理信息系统提取2015年1月1日~2017年12月31日住院时间超过3 d患者7061例的病案首页信息及《住院时间超过30天患者管理与评价报告表》，分析其性别构成、年龄、住院日、出院科室、ICD-10疾病名称的分布情况和住院时间超过30天的主要原因。结果 共7061例住院时间超过30天患者中，男性患者多于女性，62~81岁患者人数最多。住院时间31~60 d占比最高为91.72%，最长住院天数＞211 d共19例患者，其中9例被家属遗弃，3例与我院有纠纷，3例与第三方有纠纷，4例为老干部公费医疗。有37.28%患者行手术治疗，62.72%患者给予非手术治疗。住院时间超30天患者科室排名前5位为血液内科、感染病科、放疗科、普外科、骨外科。主要诊断疾病为肿瘤；主要住院原因为疾病自身。结论 住院时间超过30天患者以男性、中老年为主，多分布于血液内科、感染病科、放疗科、普外科、骨外科，主要诊断疾病肿瘤，主要住院原因为疾病自身原因。加强对住院时间超过30天患者的管理，可有效缩短平均住院日，减轻患者及社会经济负担，对于提高医疗资源利用率具有重要意义。

Abstract:

Abstract：Objective To analyze the basic information of patients who have been hospitalized for more than 30 days from 2015 to 2017, and provide scientific evidence for the scientific management of patients with hospitalization for more than 30 days and shorten the length of hospital stay.Methods The hospital medical record management information system was used to extract the home page information of 7061 patients who were hospitalized for more than 3 d from January 1, 2015 to December 31, 2017, and the "Report on Patient Management and Evaluation Reports for Hospitalization for More Than 30 Days". The main reasons for gender composition, age, hospitalization day, discharge department, ICD-10 disease name distribution, and hospital stay for more than 30 days.Results A total of 7061 patients who were hospitalized for more than 30 days had more males than females, and the largest number of patients aged 62-81 years. The hospitalization time ranged from 31 to 60 d, with the highest proportion of 91.72%, and the longest hospital stay was >211 d total of 19 patients, 9 of whom were abandoned by their families, 3 had disputes with our hospital, 3 had disputes with third parties, and 4 cases had For the old cadres public medical care. 37.28% of patients underwent surgery and 62.72% received non-surgical treatment. The top 5 patients in the hospital for more than 30 days were in the Department of Hematology, Infectious Diseases, Radiotherapy, General Surgery, and Orthopedics. The main diagnosis of the disease is tumor; the main reason for hospitalization is the disease itself. Conclusion Patients with hospitalization for more than 30 days are mainly male and middle-aged, and are mainly distributed in the Department of Hematology, Infectious Diseases, Radiotherapy, General Surgery, and Orthopedics. The main cause of hospitalization is the disease itself. Strengthening the management of patients who have been hospitalized for more than 30 days can effectively shorten the average hospitalization day, reduce the patient and social and economic burden, and is of great significance for improving the utilization of medical resources.

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更新日期/Last Update: 2019-07-15