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大型公立医院平均住院日管理实践探讨
作者姓名:吉雅玲  张一枝  李朝阳  周立涛
作者单位:南京医科大学附属淮安第一医院院办;南京医科大学附属淮安第一医院运管处
基金项目:江苏省医院协会医院管理创新研究面上指导课题(JSYGY-3-2018-298)
摘    要:目的探讨大型公立医院实施平均住院日管理的做法及其效果.方法通过制定平均住院日考核方案,严格控制手术接台时间,大力发展日间手术,加快影像科室检查效率,开展加速康复外科等举措,对平均住院日进行管控.结果经过全方位管控措施的实施,医院平均住院日逐年下降.结论在确保良好的医院服务质量的前提下,有效缩短医院平均住院日,有利于降低患者医疗费用,提高患者满意度,有助于医院尽可能缩小医疗服务成本,提高运行效率.

关 键 词:公立医院  平均住院日  日间手术

Management of average hospitalization days in large public hospitals
Authors:Ji Yaling  Zhang Yizhi  Li Chaoyang  Zhou Litao
Institution:(Office of Hospital Affairs,Huai’an First Hospital affiliated to Nanjing Medical University,Huai’an 223300;Department of Hospital Operation Management,Huai’an First Hospital affiliated to Nanjing Medical University,Huai’an 223300)
Abstract:Objective To investigate the practice and efficiency of management of average hospitalization days in large public hospitals.Methods The average hospitalization days were managed and controlled by formulating an assessment protocol,strictly controlling the interval between operations,vigorously developing daytime surgery,improving the efficiency of imaging examinations,and accelerating post-operative rehabilitation.Results After the implementation of comprehensive management and control measures,the average hospitalization days were reduced annually.Conclusion On the premise of ensuring good quality of medical service,effectively shortening the average hospital stay is conducive to reducing patient medical expenses,improving patient satisfaction,and helping hospitals to reduce medical service costs and improve operational efficiency.
Keywords:Public hospitals  Average hospitalization days  Day surgery
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