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目的调查某院妇科各专业科室现状和需求,对有限的医疗资源进行更科学和合理的分配。方法调查2010年4月-2011年9月3个专业科室出院病案3871份,采集患者相关信息,对各专业科室现有工作量、医疗资源配置等状况进行调查分析。结果肿瘤科病床使用率最高,妇科次之,计划生育科病床使用未达饱和,分别为108.86%、101.29%、86.3%;肿瘤科门诊患者住院的比例最高,住院患者手术率最低占61%,对手术室的依赖程度相对较低,而妇科和计划生育科住院患者手术率分别为98%和94%;妇科开展的微创手术比例最高;平均每台手术时间肿瘤科最长,肿瘤科和妇科的总手术时间均高于实际工作日。结论通过缩短平均住院日,增加病床,加强手术室资源的利用率,增加手术室资源的配备,使有限的医疗资源得到更合理的分配和充分的利用。
Objective To investigate the status quo and needs of gynecological specialty departments in a hospital and make a more scientific and rational distribution of limited medical resources. Methods A total of 3871 medical records of 3 professional departments were collected from April 2010 to September 2011. Relevant information of patients were collected and the existing workload and medical resources of various professional departments were investigated and analyzed. Results The highest utilization rate of gynecological beds, followed by gynecology was less than that of family planning families, accounting for 108.86%, 101.29% and 86.3% respectively. The highest rate of inpatient inpatients was inpatient, the lowest inpatient rate was 61% The dependence on the operating room was relatively low, while the inpatient rates for gynecology and family planning were 98% and 94% respectively; the proportion of minimally invasive surgery performed by gynecology was the highest; the longest oncology per operating time was oncology and Gynecological total operation time is higher than the actual working day. Conclusion By reducing the average length of stay, increasing the hospital beds, strengthening the utilization of operating room resources and increasing the allocation of operating room resources, the limited medical resources are allocated more rationally and fully utilized.