经CD率校正的床位效率指数及其影响因素分析

汪蕾蕾,梁雪娴,宋俊

中国医院统计 ›› 2020, Vol. 27 ›› Issue (1) : 84-87.

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中国医院统计 ›› 2020, Vol. 27 ›› Issue (1) : 84-87. DOI: 10.3969/j.issn.1006-5253.2020.01.018
医院管理

经CD率校正的床位效率指数及其影响因素分析

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Analysis of bed efficiency index after the correction of CD rate and its affecting factors

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摘要

目的 评价某三甲医院2018年各月及各科的校正后床位效率指数,分析其高效率或低效率运行的原因,并分析校正后床位效率指数的影响因素,为医院合理配置床位提供参考依据。方法 采用“归一法”计算某三甲医院2018年各月及各科的床位效率指数,用CD率进行校正;采用多元线性回归法分析校正后床位效率指数的影响因素。结果 2018年各月校正后床位效率指数中,7月最高(1.13),2月最低(0.58),除2月外其余月份效率指数均在0.9以上;各科校正后床位效率指数中,部分科室床位高效率运行的同时也有科室存在床位闲置的现象,重症医学科效率指数最高(4.06);线性回归分析发现,期初人数、入院人数、2或3类切口手术人数越多,急诊入院率越高,校正后床位效率指数越大,床位效率越高;三四级手术例数越多,床位效率指数越低。结论 利用具体床位效率指数的影响因素,通过行政管理介入和医疗服务模式改善,可以有效实现医院床位的合理配置。

Abstract

Objective To evaluate the bed efficiency index after correction of each month and each department of a tertiary hospital in 2018, to analyze the reasons for its high efficiency or low efficiency operation, and analyze the influencing factors of the adjusted bed efficiency index, so as to provide reference for the rational allocation of beds in the hospital. Methods The "normalization method" was adopted to calculate the bed efficiency index of each month and each department of a tertiary hospital in 2018, and the CD rate was used for correction.Multiple linear regression method was used to analyze the influencing factors of bed efficiency index after correction. Results For the beds efficiency index in every month, the highest was in July and the lowest was in February.Indexes in every month except that in February were all higher than 0.9.In the adjusted bed efficiency index of all departments, while some department beds were running with high efficiency, there were also some departments with vacant beds. The efficiency index of ICU was the highest (4.06). The linear regression analysis found that the higher the initial number of patients, the number of patients admitted, and the number of patients undergoing two or three types of incision surgery, the higher the emergency admission rate, the higher the bed efficiency index after correction, and the higher the bed efficiency. The more cases of grade 3 and 4 operations, the lower the bed efficiency index. Conclusion Reasonable allocation of hospital beds could be carried out efficiently through administrative intervention and the improvement of medical service mode, and through making use of affecting factors of bed efficiency index.
 

关键词

  / 床位效率指数 / CD率 / 影响因素

Key words

bed efficiency index / CD rate / affecting factor

引用本文

导出引用
汪蕾蕾, 梁雪娴, 宋俊. 经CD率校正的床位效率指数及其影响因素分析[J]. 中国医院统计, 2020, 27(1): 84-87 https://doi.org/10.3969/j.issn.1006-5253.2020.01.018
Wang Leilei, Liang Xuexian, Song Jun.. Analysis of bed efficiency index after the correction of CD rate and its affecting factors[J]. Chinese Journal of Hospital Statistics, 2020, 27(1): 84-87 https://doi.org/10.3969/j.issn.1006-5253.2020.01.018

参考文献

1]宋丽娜.基于归一法分析某院2016年床位工作效率[J].中国医院统计,2018,25(2):137-138.

2]梁海芳.运用床位效率指数与床位利用模型评价某三甲医院2015年床位工作效率[J].中国医院统计,2017,24(2):153-156.

3]斯瑛.CD率在归一分析法评价病床工作效率中的应用[J].中国病案,2010,11(8):25-26.

4]于淼.北京市某肿瘤专科医院2017年病床运转效率分析[J].中国医院统计,2018,25(4):312-314.

5]杨婷.运用归一分析法评价床位工作效率 [J].中国病案,2010,11(5):44-45.

6]陈秀金.用归一分析法分析某院2008至2010年床位工作效率 [J].中国医药指南,2011,9(31):224-225.

7]居来提·赛买提.运用归一法分析新疆某三甲医院2012年床位工作效率 [J].医学理论与实践,2013(19):2544-2546.

8汪雅璇.基于合理平均住院日的我国医院资源优化配置研究与预测 [J.中华医院管理杂志,2016,32(5): 365-368.


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