[1]李刚陶红兵吴姝德魏威孙熹周宇.三级综合医院患者无效住院日识别指标体系研究[J].中国卫生质量管理,2017,24(03):018-21.[doi:10.13912/j.cnki.chqm.2017.24.3.07]

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三级综合医院患者无效住院日识别指标体系研究

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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

Keywords:: Average Length of Stay; Unnecessary Hospitalization; Identification Indicators

摘要:: 目的为了有效判定患者无效住院日，减少医疗资源浪费，减轻患者经济负担，优化医疗资源配置，提高三级医院服务质量。方法采用文献分析法选取三级综合患者无效住院日识别指标集，运用德尔菲法构建三级综合医院患者无效住院日识别指标体系。结果参与咨询的专家权威程度平均为0.8295，通过两轮专家咨询，最终得出19个三级综合医院患者无效住院识别指标，其中医疗服务部分5个、护理或生命支持服务5个、患者情况9个。结论应从医疗服务、护理或生命支持服务、患者情况对三级综合患者无效住院日进行识别，并采取相应控制措施以提高医疗服务利用效率。

Abstract:: ObjectiveTo effectively determine the unnecessary hospitalization and reduce waste of medical resources to relieve patients' economic burden, optimize the allocation of medical resources, and improve the quality of tertiary-level hospital services. MethodsThe literature analysis method was used to collect indicators set on identification of unnecessary hospitalization, and the Delphi method was used to construct the identification indicators system.ResultsThe average authority of experts involved in the consultation was 0.8295. Through two rounds of expert consultation, 19 indicators on identification of unnecessary hospitalization in tertiary-level hospitals were finally obtained, which included five indicators on medical care, five on nursing or life support services, and nine on patient condition.ConclusionThe unnecessary hospitalization in tertiary-level hospital should be determined from three parts: medical care, nursing or life support services, and patient condition. Furthermore, measures should be taken to improve the utilization efficiency of medical services.

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更新日期/Last Update: 2017-05-28