内科医院病床的合理利用：三级医院的评估
Appropriate utilization of hospital beds in internal medicine: evaluation in a tertiary care hospital.
作者信息
Dizdar Omer, Karadağ Omer, Kalyoncu Umut, Kurt Mevlüt, Ulger Zekeriya, Sardan Yeşm Cetinkaya, Unal Serhat
机构信息
Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
出版信息
J Eval Clin Pract. 2007 Jun;13(3):408-11. doi: 10.1111/j.1365-2753.2006.00724.x.
AIM
To assess the appropriateness of utilization of beds in the internal medicine department of a university hospital.
METHODS
The appropriateness of hospital stay was evaluated using the Appropriateness Evaluation Protocol. A random sample of 402 days of stay was assessed.
RESULTS
One hundred and thirty-nine days of stay (34.6%) were classified as inappropriate. The inappropriate stays were mostly secondary to hospital-related factors. The two major factors for inappropriate stays were 'inappropriate timing/delay in diagnostic procedures/consultations' (27%) and 'delay in obtaining test results' (27%). None of the factors including age, gender, residence and inpatient period was significantly related to inappropriate stay in univariate analysis.
CONCLUSION
This study indicated that a significant portion of stays were inappropriate. Efforts to decrease particularly hospital-related factors associated with inappropriate stay are needed.
目的
评估某大学医院内科床位使用的合理性。
方法
采用适宜性评估方案对住院适宜性进行评估。对402个住院日的随机样本进行了评估。
结果
139个住院日（34.6%）被归类为不适宜。不适宜住院主要继发于医院相关因素。不适宜住院的两个主要因素是“诊断程序/会诊时间不当/延迟”（27%）和“获取检查结果延迟”（27%）。在单因素分析中，包括年龄、性别、居住地和住院时间在内的所有因素均与不适宜住院无显著相关性。
结论
本研究表明，相当一部分住院是不适宜的。需要努力减少特别是与不适宜住院相关的医院相关因素。
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