病人住院日之研究

A Study on the Inpatient Length of Stay

病人住院日數，及隨日數而產生之各種變化對醫院有多種意義，醫院及醫政當局欲瞭解住院病人之種種狀況及醫院工作績效須對住院日之內容有一認識。本文藉調查台大醫院1981年3月至5月新住院病人4,540個案為樣本之資料，廣泛地探討了病人住院日的分類得失，住院日之本質，住院日與醫院之關係及手術病人術前術後住院日之各種狀況，又藉各科總住院醫師對病房作業遲緩原因及病人延不出院原因之評估，探討了造成不合理住院的癥結所在，並嘗試將影響病人住院長短之幾項因素，依照其影響力之強度排列1個順序。本文研究之結果具有多方面的適用性，既在幫助醫界及社會瞭解住院日這1名詞的內涵，也可以作為醫政當局及醫療保險機構改進全國住院病人報告制度之參考。受研究之台大醫院可據以發現其內部作業之若干缺失，其他醫院也可以根據本文調查結果及方法衡量自己醫院的績效或另蒐集本身或院際資料，作更進一步的研究。

Inpatient length of stay is accepted by most researchers as a tool for understanding and evaluating hospital inpatient care performance: Knowledge on the nature and implication of inpatient length of stay helps hospital administrators as well as health care functionaries to effectively carry out their job. This study surveyed 4540 inpatient data of the patients admitted during March 1 to May 31, 1981 at the National Taiwan University Hospital. Using these data the authors probed and discussed comprehensively the various nature and implication pertaining to the length of their stay. Findings of the study are believed to be relevant references for the establishment of the nation's. inpatient data reporting system and for the improvement of some inappropriate utilization of hospital beds.