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中文摘要: 上海交通大学医学院附属瑞金医院经过多年专科医联体管理实践，2021年5月起推进专科医联体考核评价管理信息化平台建设。依托该平台，可以完成年度考核评价指标的设定，实现全流程无纸化考核。对信息化平台建设前后专科医联体年度考核结果（综合得分）、远程医疗、双向转诊数量和进修学习及短期参访人数等指标的分析显示，平台建设后，各项指标均呈现上升趋势，表明该平台可推进医联体建设及高质量发展。
Abstract:Objective：Analyze the distribution characteristics and influencing factors of patients with Prolonged Length of Stay in surgical departments，and explore measures to reduce excessive length of hospital stay. Methods：Retrieve the homepage information of all discharged patients from the surgical department of a certain hospital from January 2021 to June 2022. The 1717 Patients with Prolonged Length of Stay were selected for the descriptive analysis. The Logistic regression model was used to analyze the influencing factors of patients with prolonged length of stay. Results：The average length of hospital stay for discharged patients from the surgical department of a certain hospital is 7.78 days，of which the average length of hospital stay for patients with Prolonged Length of Stay is 44.41 days. The majority of patients with prolonged hospital stay are over 50 years old，with a higher proportion being male patients，those from outside the city，and those undergoing fourth-level surgery. The discharge departments mainly focus on general surgery department，orthopedics department，cardiothoracic surgery department，neurosurgery department，and burn plastic surgery department. The main types of diseases are tumors，circulatory system diseases，poisoning injuries and certain other consequences of external causes，musculoskeletal and connective tissue diseases，and digestive system diseases. Multivariate logistic regression results showed that payment methods（fully self fundedand other），age，gender（male），transfer，admission routes（emergency and other），surgery（Level 4），difficult or critical cases，and discharge methods（death）were influencing factors for prolonged hospital stay，which may increase the risk of prolonged hospitalization. Conclusion：The excessive length of hospital stay in the surgical department is influenced by various factors. It is necessary to strengthen medical quality management，optimize diagnosis and treatment processes，and reasonably reduce the average length of hospital stay in order to better utilize medical resources.
keywords: Extra-long Hospital Stay Distribution Characteristics Influencing Factors Surgical Department
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基金项目:南京大学现代医院管理与发展研究所课题项目（NDYG 2021025）；2021年度江苏省医院管理创新研究课题（JSYGY-2-2021-286） 南京大学现代医院管理与发展研究所课题项目（NDYG 2021025）；2021年度江苏省医院管理创新研究课题（JSYGY-2-2021-286）
引用文本：
纪和雨,庄 蕾,赵 艳,刘志刚,高卫益.专科医联体考核评价管理信息化平台建设与应用[J].江苏卫生事业管理,2024,35(3):305-308.
.Analysis on the Distribution Characteristics and Influencing Factors of 1717 Patients with Prolonged Length of Stay in Surgical Department of a Certain Grade A Tertiary Hospital△[J].Jiangsu Health System Management,2024,35(3):305-308.
纪和雨,庄 蕾,赵 艳,刘志刚,高卫益.专科医联体考核评价管理信息化平台建设与应用[J].江苏卫生事业管理,2024,35(3):305-308.
.Analysis on the Distribution Characteristics and Influencing Factors of 1717 Patients with Prolonged Length of Stay in Surgical Department of a Certain Grade A Tertiary Hospital△[J].Jiangsu Health System Management,2024,35(3):305-308.
