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目的了解医院临床科室床位利用情况,为医院管理者合理优化床位设置提供科学依据。方法提取某院2015年医疗统计年报中各临床科室的出院人数、病床使用率、实际占用总床日、床位周转次数和平均床位工作日等5项指标,利用病床工作效率指标计算各临床科室平均开放床位数的95%置信区间,判断临床科室开放床位数是否在合理区间。结果该院18个临床科室中有12个科室床位设置合理,有6个科室床位设置不合理,其中2个科室需要增加开放床位数,4个科室需要减少开放床位数。结论建议医院管理者定期分析床位利用情况,合理调整床位,有效利用卫生资源,创造更多的社会效益和经济效益。
Objective To understand the utilization of beds in clinical departments of hospitals and provide scientific basis for hospital managers to optimize their beds. Methods Five indicators of hospital discharge, hospital bed occupancy rate, actual occupancy total bed days, bed turnover and average bed working days in each clinical department of a hospital in the medical statistical annual report of 2015 were collected. The average hospital bed occupancy rate 95% confidence interval for the number of open beds to determine whether the number of open clinical beds in a reasonable number of sections. Results There were 12 departments in 18 clinical departments in the hospital. The beds were set in 6 beds. The beds in 6 departments were unreasonable. Two departments needed to increase the number of open beds and the four departments needed to reduce the number of open beds. Conclusions It is suggested that hospital managers regularly analyze the utilization of beds, reasonably adjust the beds and make effective use of health resources to create more social and economic benefits.