Pre-hospitalization System Colorectal Surgery Bed Availability
江苏省医院协会医院管理创新研究课题（JSYGY-3-2021-534）；国家自然科学基金面上项目（82172956）
目的：评价预住院制度的实施效果，提出促进预住院制度更好落实与发展的合理化建议，以提升医院管理效率。方法：2020年1月至12月结直肠外科按照不同的住院方式，把直肠癌择期手术患者分为常规住院组与预住院组，其中常规住院组78例，预住院组56例。比较常规住院组与预住院组患者的床位等待时间、平均住院天数、术前天数、住院费用，以及住院满意度等。结果：预住院组床位等待时间、住院天数、住院费用均不同程度下降，差异具有统计学意义（P < 0.05）。常规住院组患者总体满意度为83.3％，与预住院组总体满意度91.1％比较，差异具有统计学意义（P < 0.05）。结论：实行预住院制度，可以进一步提升床位的周转率和使用率，缩短平均住院天数，减少患者的费用支出，能有效缓解医疗资源紧张的现状，是一种值得推行与探索的管理制度。
Objective：To evaluate the clinical effect of the pre-hospitalization system，and promote the implementation and development of the pre-hospitalization system，the aim of this study was to improve the efficiency of hospital management. Methods：From January 2020 to December 2020，patients with colorectal surgery were divided into 2 group（78 patients in routine hospitalization group，and 56 patients in pre-hospitalization group）according to different hospitalization. Hospitalization waiting time，average hospitalization days，preoperative days，hospitalization expenses，and hospitalization satisfaction were compared before and after the implementation. Results：Compared to routine hospitalization group，hospitalization waiting time，days of hospitalization，and hospitalization expenses were decreased markedly in pre-hospitalization group. The difference is statistically significant（P < 0.05）. Total satisfactory degree was significant increase in pre-hospitalization group（pre-hospitalization group：91.1% vs routine hospitalization group：83.3%）The difference is statistically significant（P < 0.05）. Conclusion：The pre-hospitalization system can further improve the efficiency of beds turnover，shorten the average length of hospitalization，reduce the expenses of patients. Pre-hospitalization is a promising and feasible inpatient management system for improving alleviating the shortage of medical resources.