Research On Influence And Correlation Of Hospital Average Length Of Stay

Along with the Medicare system of our country reforming intensively, the hospital management system reform goes forward in the exploration in line with the objective"all serves for the patient". How to take advantage of current medical service resource to display the maximum efficiency fully is a difficult problem which faces all large-scale General hospital superintendents. Average length of stay is a comprehensive index that reflected hospital's working efficiency,management,medical treatment quality and technical.Average length of stay drops with certain inertia,but it would be slowing down when it's dropping to a certain level.The paper deals with the problem of how to break the bottleneck of properly shortening the average length of stay and optimize medical quality.Based on the data analysis,multivariate analysis was used in this paper to find main factor influencing average length of stay, and measures on how to effectively shorten average length of stay and promote hospital benefit were presented.Topic research goal:1. To provide important reference for the government and the medical profession.2. To enhance the hospital economy and the social efficiency.3. To provide the opinion and the method in order to raise the hospital management level.4. To reduce the cost of hospital operation, enhance the competitiveness of state-owned hospital, achieve the sustainable development.Topic research technique:This research subject material mainly comes from"the armed forces to protect one"system database of Changhai Hospital, about the discharged patients'cases from January, 2007 to January's, 2008.1. Altogether 19090 examples'operational aspects conduct the review research, 1978 examples of which were analyzed through stratified sampling and periodic systematic, thus data is reliable. 2. The paper rejects the invalid in hospital cases to carry on the multi-dimensional stepwise regression analysis to 14580 examples discharged cases. Afterwards I tried to dig out the primary factor that influent average stay in hospital.3. The paper refers to correlation data of each year of 2000 - 2007 suitably, takes each clinical administrative office'major effect factor as the object of study, and selects medical quantity and the qualitative index from the medical database to do the research.Topic research discovery:1. Along with reform of the Medicare system gradually deepening, the Changhai Hospital average in hospital date reduces from 23 days (original) to the 13.39 days (present). Considered the hospital existing situation, the average in hospital date could be look forward to keep on reducing.2. Through the multi-dimensional stepwise regression analytical study, the3-day-correct-diagnosis rate and the infection in hospital were found out to be the biggest resistance in the implementation of reducing average length stay in hospital.Topic research proposal:1. To enhance quality and quantity of the medical technique administrative offices'work, and enhance the 3-day-correct-diagnosis rate.2. To strengthen the management process of the operating room and the ICU.3. To strengthen the treatment management of out-patient clinics, and the emergency department.4. To vigorously promote ship chapter of system's realization, take strict precautions against the courtyard complication's outbreak.5. To deal with the aging of populations positively, enhance the community services vigorously.6. To control free army patients' invalid in hospital date reasonably.7. To Strengthen the information management, change management tool lag present situation.