【摘要】 目的了解研究医院中可避免住院患者住院例数、住院日和住院费用等信息,基于研究发现,向卫生行政部门、医院提出相关的政策建议。方法参照经济合作与发展组织(OECD)发布的卫生保健质量指标(HCQI)中关于"院外服务敏感疾病"(Ambulatory Care Sensitive Conditions,ACSCs)的定义,利用住院患者病案首页数据,统计分析研究医院中ACSCs患者的有关信息。结果研究医院中ACSCs患者共计30 896例,占所有住院患者比例为3.19%,ACSCs患者的次均住院日高于非ACSCs患者,而次均住院费用则低于非ACSCs患者。结论政府、医院应重视可避免住院的概念,开展相关研究,并探讨对我国解决相关问题的借鉴意义。更多还原

【Abstract】 Objective To obtain the basic information of avoidable admissions(AAs),such as hospital visits,LOS and hospitalization costs,and make relevant policy recommendations to governments and hospitals based on the research. Method Based on relevant definitions of Ambulatory Care Sensitive Conditions(ACSCs) of OECD,using the hospitalization summary reports to statistically analyze ACSCs patients. Results There are 30 896 ACSCs inpatients discharged from research hospitals,accounting for 3.19% of the total inpatients. Statistical analysis shows that the average LOS of ACSCSs inpatients is longer than that of non-ACSCs inpatients in each hospital,otherwise,the average hospitalization costs of ACSCSs inpatients is lower than those of non-ACSCs inpatients. Conclusion The government and hospital should attach importance to the concept of AAs,carry out related research,and investigate the reference significance for solving relevant problems in China.更多还原