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目的了解抑郁症病例住院日的水平,探讨其影响因素,在一定程度上可缓解“看病难、看病贵”的问题。方法利用我院2008年-2012年抑郁病病人的病案首页信息,采用中位数和四分位数描述平均住院日,利用回归分析模型分析影响抑郁症患者住院日的因素,探讨患者年龄、性别、付费方式、入院情况、职业,婚姻状况、有无精神病症状、患有其他疾病等对住院日的影响。结果 479例病例中住院日中位数为24.5天,2008年-2012年住院日中位数有逐渐缩短趋势,通过Mann-Whitney U检验计算和Kruskal-Wallis H检验分析显示,是否初发病、疗效、婚姻和付款方式等项P<0.05,对住院病人平均住院日的影响有统计学意义。结论住院患者的支付方式和病情严重程对住院费用和住院日具有明显影响,医院必须具有以病人为中心的服务思想和行为,才能避免单纯缩短平均住院天数的偏向,实现医院的可待续发展。
Objective To understand the level of hospitalization day in cases of depression and to explore its influencing factors to a certain extent to alleviate the problem of “difficult to see a doctor, expensive to see a doctor”. Methods Using the first page of medical records of patients with depression in our hospital from 2008 to 2012, the median length of stay and the quartile were used to describe the average length of stay. The regression analysis model was used to analyze the factors influencing the length of stay in patients with depression. , Payment method, hospital admission, occupation, marital status, presence or absence of psychiatric symptoms, suffering from other diseases on the hospital stay. Results The median hospitalization day was 47.5 days. The median length of hospitalization in 2008-2012 decreased gradually. The results of Mann-Whitney U test and Kruskal-Wallis H test showed that the initial onset and treatment effect , Marriage and payment methods, such as P <0.05, the average length of stay in hospital patients with a statistically significant impact. Conclusions The payment method and serious illness of hospitalized patients have a significant impact on hospitalization costs and hospitalization days. Hospitals must have patient-centered service thoughts and behaviors so as to avoid the shortening of the average hospitalization days and to achieve the sustainable development of the hospital .