Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Department of Dermatology and Allergology Biederstein, Technical University of Munich, Munich, Germany.
J Dtsch Dermatol Ges. 2021 Oct;19 Suppl 5:5-12. doi: 10.1111/ddg.14618.
The objective of the study was to characterize the performance of German dermatology hospitals.
A structured survey questionnaire was sent out to all dermatology hospitals in October 2019 as part of a cross-sectional analysis based on health care research.
Of the 115 hospitals, 95 (82.6 %) responded, including 34 (35.8 %) university hospitals (UC) and 61 (64.2 %) non-university hospitals (NUC), of which 78 % were urban (43 % UC, 57 % NUC) and 22 % rural (10 % UC, 90 % NUC). The dermatology departments comprised an average of 45 inpatient and 11 day-care beds (UC: 52/13, NUC: 40/9). An average of 2,302 inpatients were cared for in 2018 (UC: 2,874, NUC: 1,983), and the case mix index was 0.76 (UC: 0.74, NUC: 0.77, overall range: 0.40-0.96). Mean length of stay was 5.5 days for UC, relevantly lower than 2013 (5.9 days) and 2011 (7.1 days) data, and also significantly lower for NUC at 5.9 (2018) versus 5.1 days (2013).
German dermatology hospitals continue to have a high volume of inpatient care, with a comparison of the last six years again showing a compression with shorter length of stay and higher occupancy density. Dermatological hospitals represent an essential pillar of dermatological care.
本研究旨在对德国皮肤科医院的绩效进行评估。
2019 年 10 月，作为基于医疗保健研究的横断面分析的一部分，向所有皮肤科医院发送了一份结构化调查问卷调查表。
在 115 家医院中，有 95 家（82.6%）做出了回应，其中包括 34 家（35.8%）大学医院（UC）和 61 家（64.2%）非大学医院（NUC），其中 78%为城市医院（43%UC，57%NUC），22%为农村医院（10%UC，90%NUC）。皮肤科病房平均有 45 张住院病床和 11 张日间病床（UC：52/13，NUC：40/9）。2018 年平均有 2302 名住院患者（UC：2874 名，NUC：1983 名），病例组合指数为 0.76（UC：0.74，NUC：0.77，总体范围：0.40-0.96）。UC 的平均住院时间为 5.5 天，与 2013 年（5.9 天）和 2011 年（7.1 天）的数据相比明显降低，与 2013 年（5.1 天）相比，NUC 的住院时间也显著降低（2018 年为 5.9 天）。
德国皮肤科医院的住院治疗量仍然很大，与过去六年的比较再次显示出住院时间缩短、入住率提高的趋势。皮肤科医院是皮肤科护理的重要支柱。
