Lin Herng-Ching, Tian Wei-Hua, Chen Chin-Shyan, Liu Tsai-Ching, Tsai Shang-Ying, Lee Hsin-Chien
Taipei Medical University, School of Health Care Administration, Taipei, Taiwan.
Schizophr Res. 2006 Apr;83(2-3):211-4. doi: 10.1016/j.schres.2006.01.012. Epub 2006 Feb 28.
A nationwide population-based dataset was used to explore the association between length of stay (LOS) and 30-day readmission rates for hospitalized patients with schizophrenia in Taiwan.
The National Health Insurance Research Database was used for the years 2001-2003 and included a total of 29,373 patients with schizophrenia divided equally into four groups according to LOS of index hospitalization. After adjusting for hospital, physician and patient characteristics, a multivariate regression analysis was used to determine the relationship between LOS and 30-day readmission rates.
After discharge from their index hospitalization, 12,468 (42.5%) patients with schizophrenia were readmitted within 30 days. The adjusted odds ratio for 30-day readmission rates was increased for shorter LOS.
Healthcare providers should exert caution while trying to reduce LOS within the current cost-conscious environment and balance it with creating a minimal status necessary for discharge.
利用一个基于全国人口的数据集，探讨台湾地区精神分裂症住院患者的住院时长（LOS）与30天再入院率之间的关联。
使用2001年至2003年的国民健康保险研究数据库，该数据库共纳入29373例精神分裂症患者，根据首次住院的住院时长平均分为四组。在对医院、医生和患者特征进行调整后，采用多因素回归分析来确定住院时长与30天再入院率之间的关系。
首次住院出院后，12468例（42.5%）精神分裂症患者在30天内再次入院。住院时长较短的患者，其调整后的30天再入院率比值比升高。
在当前注重成本的环境下，医疗服务提供者在试图缩短住院时长时应谨慎行事，并在缩短住院时长与创造出院所需的最低状态之间取得平衡。
