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目的分析某院超长住院日患者的分布特点及其影响因素,以逐步降低超长住院日。方法调取某院2015年所有患者信息,定义超长住院日。对360例超长住院患者进行统计,对其影响因素进行多元逐步回归分析。结果影响超长住院日的因素包括费用类别、性别、年龄、是否转科、是否手术、住院次数、婚姻等因素。住院患者是否转科是影响住院日的最主要因素。其次是住院患者的医疗付费方式和职业类别。结论合理安排患者转科流程,采取DRGs与职工医疗保险总额预付制相结合的付费模式,落实转诊与门诊报销制度可以降低超长住院日。
Objective To analyze the distribution and influential factors of over-length hospitalized patients in a hospital to gradually reduce the length of hospital stay. Methods To retrieve all patient information of a hospital in 2015 and define the length of stay. A total of 360 long-term hospitalized patients were statistically analyzed, and their influencing factors were analyzed by multiple stepwise regression analysis. Results The factors influencing the length of stay on hospital stay included the type of expense, sex, age, whether or not to transfer to the hospital, whether surgery, number of hospitalizations, marriage, etc. Hospitalization of patients is the most important factor affecting hospitalization days. Followed by medical payment and occupational categories of hospitalized patients. Conclusion Reasonable arrangements for the transfer of patients with DRGs and medical insurance combined with the prepaid system of prepaid payment mode, the implementation of referral and out-patient reimbursement system can reduce the length of stay.