《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:
31-34
栏目:
医疗质量
出版日期:
2018-09-28
- 作者:
-
李腾 马蔚姝
-
天津中医药大学管理学院
- 关键词:
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多发性骨髓瘤; 住院天数; 高效住院期
- Keywords:
-
Multiple Myeloma; Length of Stay; High Efficiency Hospitalization
- DOI:
-
10.13912/j.cnki.chqm.2018.25.5.10
- 摘要:
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目的 为医院合理安排多发性骨髓瘤疾病住院日，加快相关科室床位周转率等提供参考。方法 对2014年-2015年中国医学科学院血液病医院收治的683例多发性骨髓瘤患者的住院费用进行边际分析，探索高效住院期、中效住院期以及低效住院期。结果 住院两周之内是总病例及首诊病例的高效住院期，随着就诊次数增加，高效住院期提前，再次就诊病例高效住院期集中在住院第1天。再次就诊存在超长住院现象，需要严格控制。结论 运用边际成本原理为合理确定多发性骨髓瘤等复杂疾病的住院天数提供了思路。但本研究也存在样本来源单一，影响因素考虑较
- Abstract:
-
ObjectiveTo provide reference for the rational establishment of length of stay for multiple myeloma in hospital, and speed up the turnover rate of the relevant departments.MethodsThe data derived from 2014-2015 medical records in Hematology Hospital in Chinese Academy of Medical Sciences. Marginal analysis of hospitalization costs was performed for 683 patients with multiple myeloma, with exploring their high efficiency hospitalization, median hospitalization, and inefficient hospitalization.ResultsThe first two weeks of hospitalization was the high efficiency hospitalization for the total cases and the first confirmed cases. With the increasing number of visits, the high efficiency hospitalization time was advanced. The high efficiency hospitalization time of re-treatment case was concentrated on the first day of hospitalization, and there was a phenomenon of long hospitalization, which needed to be controlled.Conclusion Using the marginal cost principle, a new solution was provided for the reasonable determination and management of the length of stay on complex diseases such as multiple myeloma. However, limitations still existed, such as single sample source and less consideration on influence factors.
更新日期/Last Update:
2018-09-28
