Analysis Of Cases With Patients Hospitalized For More Than 30 Days In 2014-2016 In A Sanjia Hospital In Suzhou

Objective:The average residential day is a comprehensive indicator of hospital medical quality and management level.The longer hospital stay has adverse effects on both the patients and the hospital.How to effectively shorten the average hospital day has become an important issue to be solved in hospital management.Therefore,this study firstly analyzed the cases of patients who were hospitalized for more than 30 days from 2014 to 2016 in a sanjia hospital in suzhou in order to find out the influence factors of the over-30 days in the hospital.Then,based on the data of 2016,the relationship between influencing factors and factors was analyzed,and relevant measures and experience of shortening the residential day in China and abroad were analyzed,and the management of the patients in the hospital for over 30 days was mainly implemented to realize the rational allocation and utilization of the existing medical resources.Method: Through the hospital information management system(HIS),the patient’s medical records were derived,and the general situation of the patients,the source of hospital expenses and the composition,the infection and prognosis of the patients were collected,and the statistical analysis was carried out using Excel and SPSS software.Further analysis includes single factor and multifactor variance analysis,correlation analysis and grey correlation analysis,k-means clustering analysis and ID3 decision tree analysis,etc.Results:1.Case analysis of patients hospitalized for more than 30 days in 2014 and 2016.The number of hospitalized patients in the hospital increased year by year,but the proportion of patients admitted to the hospital over 30 days decreased year by year.Over 30 days of hospitalization,most of the patients were male,age >60 and medical insurance patients,and there was no difference in constituent ratio in the past three years.Top five ordinal for malignant tumor,respiratory system diseases,circulatory system disease,digestive system diseases and diseases of the urogenital system.2.In-depth analysis of data from patients hospitalized for more than 30 days in 2016.To analyze the distribution of hospitalization day,age,number of operation,whether or not,whether transferred to branch,different kinds of diseases,and the basic statistic and distribution characteristics of hospitalization days,age,cost,and the composition of medical expenses in patients hospitalized for more than 30 days in 2016.It was found that there are differences in the patients’ attributes,the distribution of hospital day and the cost of the different diseases,which provide the basis for the differentiated bed management of different departments.The influencing factors of hospitalization over 30 days were analyzed by correlation analysis.Grey correlation analysis and stepwise regression analysis showed that age,disease type and hospitalization expenses were the main influencing factors.In this paper,the case of patients with long hospital stay was analyzed by means of k-mean cluster analysis,and the four groups were gathered together,and the characteristics of patients and expenses of different clustering were analyzed.Finally,taking the over 30-day medical record of hospitalization as the training data,the decision tree model of the average hospitalization day and the hospitalization cost was established,the independent variables were the age,the severity,the disease type and the gender,and the future cases could be forecasted according to the related attributes.Conclusion:1.Attention needs to be paid to the health status of men and elderly groups.The method of payment objectively affects the length of hospital stay.Disease itself is a major factor in length of stay in hospital.2.Differentiated hospital bed management should be adopted in different departments.3.Based on the in-depth analysis of the data,and the domestic and international related measures and experience of the closing of the hospital,we have a way to make effective management of patients who have been hospitalized for over 30 days.Mainly: the implementation of clinical pathway management,single disease management,hospitalization process optimization,expand outpatient,day surgery,improve medical technology,information and two-way referral.