Intervention Research On Properly Shorten Preoperative Average Length Of Stay

BACKGROUNDSThe average length of stay is a comprehensive reflection hospital working efficiency, the management level, the work quality, between the medical care technical level, various administrative offices coordinates the degree, the hospital operation achievements and so on. Along with the social development and progress, suppress the medical expense to grow, the full use limited medical service resources, solved the people to see a doctor go see a doctor the question already to become social the hot spot. In recent years, more and more hospital leaders from own experience realized to through own tapping latent potentialities, reduces average length of stay, increases the hospital resources effectively the use factor, enhances the hospital the efficiency achieves one of this goal measures. The paper is precisely based on this background, average length of stay this angle cuts into before some technique conducts the pointed research, subsequently for how more reasonable, effective reduction some hospital average length of stay, enhances the hospital working efficiency to provide certain theory basis.The study is Chinese Hospital Association, Bayer China Hospital Development fund Organization domestic 16 large-scale third-level hospital chief and manages the expert has developed"Shorten average length of stay"system research sub-topic. In the research process, Sichuan University West China hospital, Shanghai sixth People's Hospital and Beijing University third hospital's researchers on average length of stay's definition, average length of stay management evolved separately, average length of stay management goal and significance, average length of stay standard, influence factors of average length of stay and the shorten average length of stay measure and so on.OBJECTIVESThe background of study is the present Chinese Big Hospital universal existence sees a doctor difficultly, to be hospitalized difficultly, to see a doctor the expensive phenomenon, in view of this phenomenon, before discovering the influence technique, the factors of average length of stay obtains from the flow management before to affecting the surgery administrative offices technique, average length of stay various factors to carry on the intervention, so the improvement surgery administrative offices' management present situation, enhances the entire hospital the management level, before reducing the technique, to be hospitalized the date, the reduction in hospital number of days, enhances the surgery administrative offices the working efficiency, raises the hospital whole working efficiency. MATERIALSResearch material from total topic acquisition of information and in some hospital scene investigation and study, acquisition of information and so on, including: Domestic 16 large-scale third-level hospital's from 2000 to 2007 about the shorten average length of stay 's statistical data survey form (each examination's time situation, bed service condition, hospital surgery administrative offices' surgery number, outpatient service surgery situation, surgery table situation, gate emergency medical treatment quantity, medical expense, certificate of division of family property sickness planted situation and so on); Some hospital in 2007 7- 12 surgery administrative offices general anesthesia case 6803 example review research; Some hospital 110 general anesthesia surgery's tracking investigation; 5 person and the hospital person in charge and the administration of public health Regulatory body administrative personnel carry on the special interview to the hospital management expert to take the topic the qualitative basis; Before affecting the preoperative average length of stay, the factor and the reduction technique preoperative average length of stay measure and so on related report, the policy and the related literature and the material use.MATHODSResearch method is in the total topic research frame foundation, reorganizes, the questionnaire survey, the track revisit, the thematic group to the medical copy clerk and the statistical data collection to discuss, the depth interview, the brains storm, and counts the software using statistics descriptive analysis method and SPSS 16.0 auxiliary to be hospitalized the date correlation factor before some hospital surgery administrative offices technique to carry on the analysis, before discovering affects the hospital method, factor of preoperative average length of stay to carry on the intervention.RESULTSJust before the findings include some hospital surgery administrative offices technique, from the present situation analysis, some hospital influence technique, preoperative average length of stay factor, some hospital surgery administrative offices surgery, the flow optimization and some hospital surgery administrative offices technique, around the preoperative average length of stay intervention comparison.Looking from before some hospital technique preoperative average length of stay 's influencing factor's analysis, before the technique, average length of stay and preoperative average length of stay is an item appraises the hospital working efficiency the sensitive target, therefore, under many factor influences, in its influencing factor some are may the controlling factor, some are the uncontrolled system factors. The uncontrolled system factor includes: The social medical service pattern, the medical service system of safeguards, time the medical payment way, in hospital sickness plants, time in hospital condition, patient's age and the sex, patient's financial circumstance and so on. But the controlling factor includes: The medical service rules and regulations' consummation with carries out, medical care personnel's behavior standards, the medical technology level, the internal processes management optimization, the hardware and the platform construction, the achievements inspection and the drive and so on. This research key point is in did not consider that the uncontrolled factor under the premise the intervention which the average in hospital date's controllable factor carries on before the part influence technique, through the processes optimization, enhances the hospital management the potency.