›› 2009, Vol. 29 ›› Issue (11): 1374-.

• 论著(卫生事业管理) • 上一篇    下一篇

三级甲等综合性医院平均住院日影响因素研究

刘 霞1, 何梦乔2, 刘 君3, 曹建文4   

  1. 上海交通大学 1. 第六人民医院 人事处, 2. 第六人民医院 院长办公室, 上海 200233;3. 安泰经济与管理学院, 上海 200052;4. 第六人民医院医院 管理研究中心, 上海 200233
  • 出版日期:2009-11-25 发布日期:2009-11-24
  • 通讯作者: 何梦乔, 电子信箱: mengqiaohe@yahoo.com.cn。
  • 作者简介:刘 霞(1973—), 女, 博士, 工程师;电子信箱: liuxia1213@163.com。

Determinants of average length of stay of upper first-class general hospitals

LIU Xia1, HE Meng-qiao2, LIU Jun3, CAO Jian-wen4   

  1. 1. Department of Personnel, 2. Office of Hospital Director, The Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China;3. Antai College of Economics and Management, Shanghai Jiaotong University, Shanghai 200052, China;4. Research Center for Hospital Management, The Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China
  • Online:2009-11-25 Published:2009-11-24

摘要:

目的 研究16家三级甲等综合性医院2000—2007年平均住院日的影响因素。方法 收集内地16家三级甲等综合性医院2000—2007年的数据,运用描述性统计学方法和多元线性回归对影响平均住院日的相关因素进行分析。结果 住院患者手术比率、术前等待时间、工资和奖金比率、医护比、急诊抢救成功率、手术台数量以及职工人数对平均住院日均有显著影响。结论 为进一步缩短平均住院日,相关职能部门需要采取优化调整资源配置、提高医疗服务质量、设计合理有效的绩效考核和奖金分配方案及完善医保政策等措施。

关键词: 平均住院日, 影响因素, 综合医院

Abstract:

Objective To identify the determinants of average length of stay of 16 upper first-class general hospitals from 2000 to 2007. Methods Relative data of 16 upper first-class general hospitals from 2000 to 2007 were collected, and descriptive analysis and multiple linear regression analysis were employed to explore the determinants of average length of stay. Results Operation ratio and days before operation of inpatients, ratio of salary to medical income, ratio of doctors to nurses, successful rescue rate in emergency, number of operation tables and staff had impact on average length of stay. Conclusion Resource allocation should be optimized, health care quality be enhanced, reasonable salary scheme be designed, and rational medical insurance policies be implemented in hospitals to shorten average length of stay.

Key words: average length of stay, determinant, general hospital