基于灰熵关联的平均住院日影响因素研究
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摘要
目的:分析医疗指标与平均住院日的关联程度,为医院有效缩短平均住院日提供参考依据。方法:建立基于灰熵优化的加权灰色关联度模型,对影响平均住院日的医疗指标进行重要程度的分析。结果:根据关联程度分析,可知影响平均住院日的医疗指标重要程度依次为开放床位数、床位周转次数、治疗有效率、床位使用率、年门诊量、住院手术人次和出院人数。结论:基于灰熵优化的加权灰色关联分析方法可以有效分析医疗指标对平均住院日的影响程度,提高医疗服务质量。
Objective:Providing reference basis for effective shorten the average length of stay,this article analyses degree of the medical treatment index and the average length of stay.Methods:This article establishes a model of the weighted grey incidence of optimized grey entropy,and analyzes the influence of the medical treatment index for the average length of stay.Results:According to analyze correlation degree,the influence of the medical treatment index for the average length of stay in order of importance is open berths to count,bunk down times,treatment effectiveness,beds rate of utilization of hospital beds,annual outpatient service quantity,hospital surgery people number and discharge.Conclusions:Weighted grey incidence analysis method based on optimized grey entropy can effectively analyze influence degree of the medical treatment index for the average length of stay,and improving the quality of medical services.
Objective:Providing reference basis for effective shorten the average length of stay,this article analyses degree of the medical treatment index and the average length of stay.Methods:This article establishes a model of the weighted grey incidence of optimized grey entropy,and analyzes the influence of the medical treatment index for the average length of stay.Results:According to analyze correlation degree,the influence of the medical treatment index for the average length of stay in order of importance is open berths to count,bunk down times,treatment effectiveness,beds rate of utilization of hospital beds,annual outpatient service quantity,hospital surgery people number and discharge.Conclusions:Weighted grey incidence analysis method based on optimized grey entropy can effectively analyze influence degree of the medical treatment index for the average length of stay,and improving the quality of medical services.
引文
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[12]William M.Ricci,Angel Brandt,Christopher Mc Andrew,and Michael J.Gardner.Factors Effecting Delay to Surgery and Length of Stay for Hip Fracture Patients[J].J Orthop Trauma,2015,29(3):e109-e114
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[15]John C.Dunn,Joseph Lanzi,Nicholas Kusnezov,et al.Predictors of length of stay after elective total shoulder arthroplasty in the United States[J].Journal of Shoulder and elbow surgery,2015,24(5):754-759
[16]Zakkoyya H.Lewis,Catherine Cooper Hay,James E.Graham,et al.Social support and actual versus expected length of stay in inpatient rehabilitation facilities[J].Archives of Physical Medicine and Rehabilitation,2016,1137(409):747-1636
[17]Romina Wahab,Natalie H Yip,Subani Chandra,et al.The implementation of an early rehabilitation program is associated with reduced length of stay:A multi-ICU study[J].SCImago Journal Rank,2015,September,21
[18]Anahita Jalilvand,Andrew Suzo,Melissa Hornor,et al.Impact of care coaching on hospital length of stay,readmission rates,postdischarge phone calls,and patient satisfaction after bariatric surgery[J].Surgery for Obesity and Related Diseases,2016,February24
[19]李建民,尚晓斌,梁艺,等.数学模型技术在缩短平均住院日管理中的应用[J].中国医院,2014,18(3):44-45Li Jian-min,Shang Xiao-bin,Liang Yi,et al.Application of mathematical model technique in shortening the average length of stay in hospital[J].Chinese Hospital,2014,18(3):44-45
[20]秦峰,沈琼.平均住院日影响因素的灰色关联分析[J].解放军医院管理杂志,2013,2(20):118-120Qin Feng,Shen Qiong.Grey correlation analysis of influencing factors of average hospitalization days[J].PLA Hospital Management Journal,2013,2(20):118-120
[2]徐洁.试论病床使用率和病床周转次数的关系[J].中国病案,2007,2(8):19-20Xu Jie.Discussion on the relationship between the utilization rate of hospital bed and the number of bed turnover[J].Chinese medical record,2007,2(8):19-20
[3]王丹,邢沫.5个肿瘤病种实施临床路径对缩短住院日和降低次均费用的效果分析[J].中国医院,2013,(10):32-33Wang Dan,Xing Mo.The effect of implementing clinical pathway on shortening the length of hospital stay and reducing the average cost of5 tumor diseases[J].Chinese Hospital,2013,(10):32-33
[4]何梦乔,刘霞,曹建文,等.平均住院日影响因素探析[J].解放军医院管理杂志,2008,15(12):1141-1142He Meng-qiao,Liu Xia,Cao Jian-wen,et al.Analysis on Influencing Factors of average hospitalization[J].PLA Hospital Management Journal,2008,15(12):1141-1142
[5]Grenon X,Pinget C,Wasserfallen JB.HOSPITAL-BASED HEALTH TECHNOLOGY ASSESSMENT(HB-HTA):A 10-YEAR SURVEY AT ONE UNIT[J].Int J Technol Assess Health Care,2016 Aug 5:1-6
[6]Luetz A,Weiss B,Boettcher S,et al.Routine delirium monitoring is independently associated with a reduction of hospital mortality in critically ill surgical patients:A prospective,observational cohort study[J].J Crit Care,2016,35:168-173
[7]何菊梅.某院平均住院日的主要影响因素分析与对策[J].中国医院统计,2014,21(4):307-308He Ju-mei.Analysis and Countermeasures of the main influencing factors of the average hospitalization days in a hospital[J].Chinese Hospital Statistics,2014,21(4):307-308
[8]Anderson J,Hill J,Alford M,et al.Healthcare resource utilization after medium-term residential assessment for epilepsy and psychogenic nonepileptic seizures[J].Epilepsy Behav,2016,62:147-152
[9]Elayyat AH,Sadek A.Hospital utilization pattern in a hepatogastroenterology department of a research institute hospital,from 2004 to 2013[J].J Egypt Public Health Assoc,2016,91(2):59-64.
[10]王海辉.影响医院平均住院日的因素分析[J].中国医院统计,2014,21(1):59-63Wang Hai-hui.Analysis on the factors influencing the average hospitalization days in hospital[J].Chinese Hospital Statistics,2014,21(1):59-63
[11]Hong Yan,Shaheryar F.Ansari,et al.Statistical Analysis for Hospital Length-of-Stay and Readmission Rate Study[J].Science Research Retreat,2016,May,20
[12]William M.Ricci,Angel Brandt,Christopher Mc Andrew,and Michael J.Gardner.Factors Effecting Delay to Surgery and Length of Stay for Hip Fracture Patients[J].J Orthop Trauma,2015,29(3):e109-e114
[13]穆霄,郑春秀,张晓潇,等.综合性医院平均住院日绩效指标集的构建与应用[J].医疗管理,2014,34(2):37-38Mu Xiao,Deng Chun-Xiu,Zhang Xiao-xiao,et al.Construction and application of the performance index of the average hospital stay in the general hospital[J].Medical management,2014,34(2):37-38
[14]Sheelah Connolly.The impact of dementia on length of stay in acute hospitals in Ireland[J].The international journal of social research and practice,2015,14(5):650-658
[15]John C.Dunn,Joseph Lanzi,Nicholas Kusnezov,et al.Predictors of length of stay after elective total shoulder arthroplasty in the United States[J].Journal of Shoulder and elbow surgery,2015,24(5):754-759
[16]Zakkoyya H.Lewis,Catherine Cooper Hay,James E.Graham,et al.Social support and actual versus expected length of stay in inpatient rehabilitation facilities[J].Archives of Physical Medicine and Rehabilitation,2016,1137(409):747-1636
[17]Romina Wahab,Natalie H Yip,Subani Chandra,et al.The implementation of an early rehabilitation program is associated with reduced length of stay:A multi-ICU study[J].SCImago Journal Rank,2015,September,21
[18]Anahita Jalilvand,Andrew Suzo,Melissa Hornor,et al.Impact of care coaching on hospital length of stay,readmission rates,postdischarge phone calls,and patient satisfaction after bariatric surgery[J].Surgery for Obesity and Related Diseases,2016,February24
[19]李建民,尚晓斌,梁艺,等.数学模型技术在缩短平均住院日管理中的应用[J].中国医院,2014,18(3):44-45Li Jian-min,Shang Xiao-bin,Liang Yi,et al.Application of mathematical model technique in shortening the average length of stay in hospital[J].Chinese Hospital,2014,18(3):44-45
[20]秦峰,沈琼.平均住院日影响因素的灰色关联分析[J].解放军医院管理杂志,2013,2(20):118-120Qin Feng,Shen Qiong.Grey correlation analysis of influencing factors of average hospitalization days[J].PLA Hospital Management Journal,2013,2(20):118-120