某院儿科住院病人自动出院原因分析

目的：了解我院儿科住院病人自动出院的原因，并制定相应的对策。方法：调查本院儿科2004-2005年2年内自动出院的病儿共计168例。结果：同期儿科出院811例，自动出院共计168例，自动出院率20．72％。自动出院病儿多见于呼吸系统疾病98例（58．3％）、传染病43例（25．59％）及消化系统疾病12例（7．14％）。其疾病状况分别为好转95．83％、未愈4．17％、病危0．59％。自动出院原因前3位为误解病情107例（63．69％）、怀疑医术33例（19．64％）、经济困难15例（8．93％）。结论：该院应加强健康教育及医患沟通、提高医院医疗技术水平，树立医院的良好形象，是降低本院儿科住院病人自动出院率的重要措施。

A STUDY ON THE CAUSE AND COUNTERMEASURES OF PATIENTS LEFT HOPITAL WITHOUT CURE IN PEDIATRIC DEPARTMENT

Objective:To investigate the cause of patients left hospital without cure in prediatric department and make associated politics for that.Methods:168 cases of pediatric patient left hospital without cure in 2004 to 2005 were retrospective analysed.Results:There were 811 patients in pediatric department left hospital in the same period.The rate of patients left hospital without cure was 20.72%.The diseases of patients left hospital without cure were common in respiration system(58.3%),infectious(25.59%)and alimentary system(7.14%).The statuses of patients left hospital without cure were straighten(95.83%),not heal(4.17%)and sick into death(0.59%).The cause of patients left hospital without care were misapprehend(69.69%),do not believe doctor(19.64%)and poor(8.93%).Conclusion:That patients left hospital without cure could made recessive danger to convalescent patients who is recovering from illness,as well as made nogative effecs to the hospital.So the health education and the communication between patiens and doctors should be strengthened.The medical technique and service that aim to make nice figure of the hospital should be enhanced in order to reduce the rate of patients left hospital without cure.