| 某三甲综合医院内外科系统患者出院结账影响因素差异 |
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| 引用本文： | 王越,王永锋,付玲娣,陈紫叶,李贤.某三甲综合医院内外科系统患者出院结账影响因素差异[J].解放军医院管理杂志,2019,26(3):249-252. |
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| 作者姓名： | 王越 王永锋 付玲娣 陈紫叶 李贤 |
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| 作者单位： | 承德医学院护理学院,承德,067000;河北省人民医院院办室,石家庄,050051;河北省人民医院护理部,石家庄,050051 |
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| 摘 要： | 目的通过对某三甲医院内外科系统影响患者出院结账因素比较分析,找出其中的差异,探讨改善出院结账延迟的有效措施。方法对3 586名出院患者出院结账时进行调查统计,采用卡方检验分析内外科整体及不同人员间影响患者出院结账因素差异。结果①内外科患者出院结账受影响百分率存在差异(P<0.001),外科区患者出院结账受影响百分率大于内科区;②内外科均因医师方面导致患者出院结账延迟比例最高,且影响因素在不同人员分布间也存在明显差异(P<0.001),外科区因药房(P<0.001)和信息处(P<0.001)导致患者出院结账延迟比例较高,而内科区因检验功能科(P<0.001)和患者自身因素(P<0.001)导致患者出院结账延迟比例较高;③经"8020"原则进行分析,内外科系统影响患者出院结账因素真因存在差异。结论由于内外科疾病特点及诊疗过程的差异,内外科影响患者出院结账因素存在明显差异,医院应采取更有针对性的措施,改善内外科出院结账延迟。
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| 关 键 词： | 出院手续 住院患者 结账延迟 患者满意度 内外科 |
Difference Analysis of Influencing Factors on Check-out of Discharged Patients from Internal Medicine or Surgery Department in a Third-grade Class-A Hospital |
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| WANG Yue,WANG Yongfeng,FU Lingdi,CHEN Ziye,LI Xian.Difference Analysis of Influencing Factors on Check-out of Discharged Patients from Internal Medicine or Surgery Department in a Third-grade Class-A Hospital[J].Hospital Administration Journal of Chinese People's Liberation Army,2019,26(3):249-252. |
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| Authors: | WANG Yue WANG Yongfeng FU Lingdi CHEN Ziye LI Xian |
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| Institution: | (School of Nursing,Chengde Med?ical College,Chengde 067000;Administrative Office,Hebei General Hospital,Shijiazhuang 050051;Department of Nursing,Hebei General Hospital,Shijiazhuang 050051) |
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| Abstract: | WANG Yue;WANG Yongfeng;FU Lingdi;CHEN Ziye;LI Xian(School of Nursing,Chengde Med?ical College,Chengde 067000;Administrative Office,Hebei General Hospital,Shijiazhuang 050051;Department of Nursing,Hebei General Hospital,Shijiazhuang 050051) |
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| Keywords: | discharge procedure patients check-out delay patient satisfaction internal medicine and surgery department |
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