Analysis And Management Of Hospital Days In A Three Grade Hospital

Objective: Through the analysis of a three level of first-class comprehensive hospital in Xinjiang average hospitalization on the distribution and characteristics, find overstay hospitalization days influencing factors and effective measures, shortening the average hospitalization, andultimately develop a reasonable average hospitalization days target value method. Method: The first is in the overall level of hospital hospitalization, patients from 2013 through the hospital information system data, import SPSS17. 0, using F test and t test, to understand the different classification differences under the period of hospitalization medical expenses; the use of marginal principle of high efficiency period of hospitalization days and invalid period distribution, and the long hospital stay. Logistic regression analysis, to understand the factors affecting hospitalization days long; followed by the disease level understanding of hospitalization, data of the 2014 annual discharge hospitalization days in the hospital, including a focus on disease and long hospital stay in patients with disease composition were analyzed; finally using equilibrium theory of economics of payments in 2014 health, Department of hypertension and Gynecology throughout the year patients discharged from hospital stay for patients, to explore the reasonable method for the target value of the average hospitalization days. Results: Days of hospitalization showed a skewed distribution, due to long hospital stay has greatly affected the overall average hospitalization days; when hospitalization within 24 days, patients received more intensive treatment activities, increasing marginal medical expenses, which belongs to the high hospitalization days, after 24 days, patients received treatment activities gradually reduced, inefficient hospitalization days, continued reduction in marginal cost and negative growth in 42 days, invalid hospitalization stage; in this study, medical treatment, gender, disease, prognosis, and whether the transfer operation is whether the factors affecting hospitalization days long, the transfer of patients, operation patients and disease is an important risk factor of hospital stay long long; hospitalization patients mainly tumor diseases, the highest proportion of the average hospitalization days and the longest disease is cervical cancer. Conclusion: The hospital should focus on hospitalized for more than 30 days in patients with management, improve management aspects of the process of the new rural cooperative medical care system, transfer to the ICU patients; key of tumor diseases and certain other consequences of injury, poisoning and external diseases hospitalization days management, enhance the classification diagnosis and treatment; using the method of break even analysis, through the balance of payments balance to determine the average length of the target value, can effectively prevent the excessive shortening or ineffective management of hospitalization days.