[1]申良荣 张鸿雁 孙忠民 高建民.出院患者非计划再入院影响因素分析[J].中国卫生质量管理,2018,25(05):035-38.[doi:10.13912/j.cnki.chqm.2018.25.5.11]
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出院患者非计划再入院影响因素分析
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第25卷
期数:
2018年05期
页码:
035-38
栏目:
医疗质量
出版日期:
2018-09-28

文章信息/Info

作者:
申良荣 张鸿雁 孙忠民 高建民
西安交通大学第一附属医院
关键词:
出院患者非计划再入院诊断影响因素
Keywords:
Discharged PatientUnplanned Re-admissionDiagnosisFactors Analysis
DOI:
10.13912/j.cnki.chqm.2018.25.5.11
摘要:
目的 了解出院患者非计划再入院的影响因素。方法 采用SPSS 19.0 统计软件对某大型公立医院2014年出院患者病案首页资料数据进行描述性分析,分为研究组(非计划再入院组)和对照组进行对比研究。结果 非计划再入院的前15位病例的再入院率为12.81%,疾病以慢性或难治性疾病为主,再入院发生率较高的前3个科室是肿瘤放疗科、感染性疾病科、脑病科。研究组合并1种疾病患者的比例(40.0%)高于对照组(28.3%),而无合并疾病患者的比例(15.5%)低于对照组(21.6%)。有术后并发症病例的非计划再入院率(
Abstract:
ObjectiveTo analyze the factors affecting the unplanned re-admission of the discharged patients. MethodsThe home page information of the medical records of discharged patients in a large-scale public hospital in 2014 was analyzed by SPSS 19.0 software for descriptive analysis between the unplanned re-admission group and the control group.ResultsThe unplanned re-admission rate of cases with the top-fifteen principal diagnosis of readmission was 12.81%. The diseases mainly included chronic and refractory diseases, which distributed mainly in the Department of Radiation Oncology, Department of Infectious Diseases, and Department of Encephalopathy & Neurology. The proportion of the patients with one kind of combined diseases in the study group is 40.0% which was higher than that of the control group of 28.3%, while the proportion of patients without others disease in the study group was 15.5% which was lower than that of the control group of 21.6%. The unplanned readmission rate (6.02%) of patients with postoperative complications was higher than that of patients without postoperative complications (3.28%). The unplanned readmission rate (6.41%) of patients without nosocomial infection during hospitalization was higher than that of patients with nosocomial infection (4.28%). Among the different payment methods, the unplanned re-admission rate of cases with New Rural Cooperative Medical System was the highest (7.01%), and the rate of those with commercial medical insurance was the lowest (1.91%).Conclusion The unplanned readmission rate is the reflection of the quality of medical services. Patients were mainly re-admitted with chronic diseases, and the combination of the number of diseases and the policy orientation of medical insurance had an impact on the readmission rate. It should optimize the allocation of resources of medical institutions, make in-depth analysis of different diseases, take appropriate regulatory measures in combination with medical statistics data, formulate reasonable medical indicators and reduce the rate of non-planned readmission.

参考文献/References:

[1]Jencks S F,Wiluams M V,Coleman E A.Rehospitalizations among patients in the Medical fee-for-service program[J].The New England Journal 0f Medicine,2009,361 (3) :1418-1428.

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更新日期/Last Update: 2018-09-28