Abstract：Objective To provide data support for the hospital management department to reduce inefficient or ineffective hospitalization days, we analyzed the situation of patients with overlength hospitalization.Methods A retrospective survey and descriptive statistical analysis were carried out on the patients with overlength hospitalization in a hospital in 2017.Results The patients with overlength hospitalization accounted for 1.03% of the discharge number in the same period, and the average hospitalization day was 60.5 days. The excess length of hospitalization days was mainly distributed in the 42~50 day group. This city was the main source of ultra long hospital days, accounting for 95.54%. The way of leaving hospital was mainly from medical advice, accounting for 83.78%. The sex ratio of men and women patients with overlength hospitalization was 1.87:1, and the average age was 53 years old, mainly in two age groups over 60 years old and 45~59 years old. The per capita cost of 1344 cases of overlong hospitalization was ?100226, and the payment method was mainly medical insurance. The number of patients were mainly from Department of radiotherapy, Department of neurosurgery and Department of orthopedics. The first five diseases in super long hospitalization days in the descending order were injury and poisoning, affecting health status and factors related to health care institutions, tumor, circulatory system diseases, and perinatal diseases.Conclusion The supervision of key departments and key diseases is strengthened, and patients with hospitalization days over 30 days should be regularly reported. We should establish the two level early warning mechanism of the hospital, pay attention to the age and disease spectrum, accelerate the construction of medical union, dredge the referral channels, and shorten the average hospitalization days.
吴鸿鹏,张宗旺. 某医院1 344例超长住院日患者分布特征分析[J]. 中国医院统计, 2018, 25(5): 388-391.
Wu Hongpeng, Zhang Zongwang. Analysis of the distribution characteristics of 1 344 patients with overlength hospitalization in a hospital. journal1, 2018, 25(5): 388-391.
