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"跨病区收治"工作实践及效果研究

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目的 探讨在床位资源有限的背景下,公立医院实施跨病区收治运营模式的策略及效果。方法 选取南京医科大学附属淮安第一医院 2023 年 4-6 月和 2023 年 10-12 月的23 个试点病区出院患者数据作为研究对象。观察试点病区实施跨病区收治运营模式前后床位周转次数、床位使用率、床位等候时间及满意度指标的变化。结果 跨病区收治运营模式实施后床位周转次数、床位使用率分别为(13。39±5。75)次、(95。03±2。04)%,均高于实施前的(12。68±5。56)次、(91。02±6。01)%;跨病区收治运营模式实施后床位等候时间为(1。52±0。51)d,短于实施前的(1。97±0。47)d,差异有统计学意义(P<0。05)。跨病区模式实施后医疗单元满意度、入院服务满意度分别为(98。10±0。91)分、(97。74±0。94)分,高于实施前的(97。08±1。19)分、(97。14±1。10)分,差异有统计学意义(P<0。05)。结论 跨病区收治运营模式能够有效缓解医院床位紧缺与闲置并存的现象,是医院资源科学统筹和高效运转的重要举措,有利于推动医院高质量发展。
Research on the Practice and Effect of"Cross Ward Admission"
Objective To explore the strategy and effect of implementing cross ward admission operation mode in public hospitals under the background of limited bed resources.Methods The data of discharged patients from 23 pilot wards in the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University from April to June 2023 and from October to December 2023 were selected as the research object.The changes of number of bed turnover,bed utilization rate,bed waiting time and satisfaction index were observed before and after the operation mode of cross-ward treatment was implemented in the pilot ward.Results After the implementation of the cross ward admission operation mode,the number of bed turnover and the bed utilization rate were(13.39±5.75)times and(95.03±2.04)%,respectively,which were higher than(12.68±5.56)times and(91.02±6.01)%before the implementation,after the implementation of the cross ward admission operation mode,the waiting time of bed was(1.52±0.51)days,which was shorter than(1.97±0.47)days before the implementation,the differences were statistically significant(P<0.05).After the implementation of the cross ward admission operation mode,the satisfaction of medical unit and admission service were(98.10±0.91)points and(97.74±0.94)points,respectively,which were higher than(97.08±1.19)points and(97.14±1.10)points before the implementation,the differences were statistically significant(P<0.05).Conclusion The cross ward admission operation model can effectively alleviate the coexistence of scarce and idle beds in hospitals,and is an important measure for the scientific coordination and efficient operation of hospital resources,which is conducive to promoting high-quality development of hospitals.

public hospitalscross ward admissionresource allocationbed managementaccounting calculationperformance management

张一枝、张晓倩、左静如、米灿

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南京医科大学附属淮安第一医院财务处,江苏 淮安 223300

南京医科大学附属淮安第一医院医保处,江苏淮安 223300

公立医院 跨病区收治 资源分配 床位管理 会计核算 绩效管理

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(23)