Study On The Influencing Factors Of Average Length Of Stay In A 3-A-Grade General Hospital In Xinjiang

Objective: To analyze the inpatient's data and find the influencing factors of the hospitalized patients who stay in a 3-A-Grade General hospital in Xinjiang,and providing reference for medical institutions to improve efficiency.Methods: Collect the data of the patient's medical records from 2013 to 2015 and statistical analysis of the information which was collected by SPSS22.0.Results: 1)From 2013 to 2015,the number of hospitalized patients increased from 27,575 to 30,758 in the hospital,the average length of stay of the hospital dropped from 10.67 days to 10.14 days during 2013 to 2015;2)From 2013 to 2015,the average length of stay of surgery department increased from 9.0 to 9.1 days in the hospital;3)In 2015,the average length of stay was higher of the patients with bone continuity in the top-five diseases of the surgery department,which was 14.3 days,and the average length of stay of patients with cerebral infarction was higher of the top-five patients in non-surgical department,which was 14.1 days;4)In 2015,about the average length of stay,the patients who with emergency treatment,no specific clinical diagnosis,preoperative waiting days over 8 days,operation level to 4,the doctor's advice of departure from the hospital and the new rural cooperative medical insurance of the top-five diseases of surgery department was higher,the average length of stay followed by 9.1 days and 9.2 days,18.0 days,14.7 days,13.5 and 11.3 days;5)In 2015,about the average length of stay,the patients of the top-five diseases in non-surgical department who with no clear clinical diagnosis,a death certificate,new type of rural cooperative medical insurance in the hospital,the average length of stay followed by 11.4 days,10.4 days and 10.5 days;6)The average length of stay of the patients of orthopedics department and cardiology was higher in the key department,the average length of stay followed by 13.1 days and 10.4 days;7)among the patients of the key departments of the hospital in 2015,the patients of department of cardiology with chronic ischemic heart disease,primary hypertension had a higher average length of stay,which was 10.7 days.bone continuity disorders,the average length of stay was 14.5 days for patients with bone continuity disorders in orthopedics department,patients with chronic bronchitis had a higher average length of stay of 10.9 days in geriatric department,the average length of stay for pediatric patients with pneumonia was 6.9 days in pediatric department;8)Multiple stepwise regression analysis shows that age,gender,native place,occupation,marriage,the day to hospital,the way to hospital,the hospital diagnosis,operation level,preoperative waiting for days,the way to leave hospital and the type of medical insurance of the patients,were the main influencing factors to the average length of stay for the hospital.Conclusion: According to the results of the study,the average length of stay could shorten reasonable in the hospital,the main influencing factors of the average length of stay in the hospital were admission diagnosis,operation level,preoperative waiting days,etc.suggested that the hospital can advertise health knowledge,carry out humanistic care programs,strengthen the medical technology,optimize the medical equipment,standardize the department working process,implement the clinical pathway and the single disease payment,the day surgery,and actively implement the two-way referral system to shorten the average length of stay in the hospital.