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目的:分析一体化医疗保健模式在某干休所离休干部医疗保健中应用的效果。方法:选择某军队干休所离休干部30例,采取医院、干休所、家庭病房一体化医疗保健模式对老干部实施医疗保健。3年后,分析实施前后患者的满意度、入院例数、平均住院天数及平均住院费用等指标。结果:实施前患者满意度为75.3%,实施后为93.3%;实施前后患者满意度比较,差异显著(P<0.05)。本组30例,实施前入院11例(36.7%),实施后为12例(40.0%);实施前后入院率比较,差异不显著(P>0.05)。实施前平均住院时间23天/次,实施后为25天/次;实施前后平均住院时间比较,差异不显著(P>0.05)。实施前平均住院费用1.45万元/次,实施后1.75万元/次;实施前后平均住院费用比较,差异不显著(P>0.05)。结论:实施医院、干休所、家庭病房一体化医疗保健模式,提高了老干部对医疗保健的满意度,而入院例数、住院天数及医疗费用增加不显著。
OBJECTIVE: To analyze the effect of integrated health care model applied in the medical care of retired cadres at a certain cadre. Methods: Thirty cases of retired cadres of a military cadre were selected, and medical care was carried out on veteran cadres by adopting integrated health care model of hospitals, dry places and family wards. Three years later, the patient satisfaction, hospitalization number, average hospitalization days and average hospitalization costs were analyzed before and after the implementation. Results: Before the implementation, the patient satisfaction was 75.3% and 93.3% after the implementation. The satisfaction of patients before and after the implementation was significantly different (P <0.05). The group of 30 cases, 11 cases before admission (36.7%), after the implementation of 12 cases (40.0%); before and after the implementation of admission rates, the difference was not significant (P> 0.05). Before the implementation of the average hospitalization time of 23 days / time, after the implementation of 25 days / times; before and after the implementation of the average hospital stay, the difference was not significant (P> 0.05). Before the implementation of the average hospitalization fee of 14,500 yuan / time, after the implementation of 17,500 yuan / time; before and after the implementation of the average hospitalization costs, the difference was not significant (P> 0.05). Conclusion: The implementation of integrated health care model for hospitals, retirement homes and family wards increased the satisfaction of veteran cadres to health care. However, there was no significant increase in the number of hospitalizations, days of hospitalization and medical expenses.