| 摘要: |
| 目的 通过分析山西省三级甲等综合医院2014年上半年重点疾病患者出院当天、2～15天内、16～31天内的重返情况，探索发生的根本原因，为医院医疗服务质量的评价与改善、政策的制定提供科学的管理依据。方法 采用Microsoft Excel数据库和SPSS22.0 for Windows软件对各医院重点疾病的三种重返情况进行分析，并对各医院18种重点疾病的重返率进行了排序。结果 重返现象的发生主要集中在出院2～31天内，而各医院18种重点疾病中出院2～31天内重返率最高的前3位疾病中均有“恶性肿瘤术后化疗、恶性肿瘤维持性化学治疗”。结论 恶性肿瘤术后化疗与维持性化学治疗此种较高的重返现象发生在三级甲等综合医院，不利于优质医疗资源的合理应用。 |
| 关键词: 重点疾病 恶性肿瘤 重返率 分级诊疗 |
| DOI： |
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| Analysis of Key Diseases Re-entry Rates of Class A Tertiary General Hospitals in Shanxi Province |
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| Abstract: |
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Objective
By analyzing key diseases re-entry rates of the same day, from 2 to 15 days,16 to 31days discharged from Class A Tertiary General Hospitals in Shanxi Province in the first half year of 2014, to explore the basic reasons of occurrence and provide scientific administration base for evaluation and improvement of medical service quality and policy formulation. Methods Analyzing and ordering the three kinds re-entry rates of key diseases of each hospital by Microsoft Excel database and SPSS22.0 for Windows statistical software. Results Re-entry phenomenon mostly concentrated from 2 to 31 days of discharge. The top 3 re-entry rates of each hospital key diseases include malignant tumor postoperative chemotherapy and malignant tumor maintenance chemotherapy. Conclusion There are higher re-entry phenomenon in malignant tumor postoperative and maintenance chemotherapy in Class A Tertiary General Hospitals. It is not favorable for the reasonable application of good quality medical service resource. |
| Key words: key disease, malignant tumor, re-entry rates, classified treatment |
