黄蕾 俞瑞娟 方婷妮

[摘要] 目的 了解某新升三级医院诊疗数据特征，为医院管理决策提供依据。 方法 从门诊工作、住院工作、工作质量等方面对该院2014年统计年报及监测数据进行分析。 结果 2014年门诊人次、出院人次、手术人次比上年明显增长，平均住院日比上年缩短；出院患者中青壮年患者所占比例较高，老年患者占比居第二位，男女性别比为1∶0.91。出院患者疾病分类前6位分别是妊娠分娩和产褥期、消化系统疾病、呼吸系统疾病、影响健康状态与保健机构接触的因素、损伤中毒和外因疾病、肿瘤。全年死亡患者307例，病死率为0.96%。 结论 2014年该院医疗业务运行情况良好，但应积极开展新业务、新技术，夯实医疗内涵，突出专科特色，加强基础设施建设，提高整体实力。

[关键词] 新升三级医院；统计数据；分析

[中图分类号] R197.3 [文献标识码] A [文章编号] 1674-4721（2016）03（c）-0137-03

[Abstract] Objective To understand the diagnostic and treatment data feature of one new tertiary hospital and provide basis for hospital management decision. Methods Statistics annual report and monitor data in 2014 were analyzed from outpatient work，hospitalization work and quality of work and other aspects. Results The outpatient visits，discharge number and operation number in 2014 was obviously increased compared with the last year，the average hospitalized day was obviously shorten compared with the last year.Young and adults patients accounted for a higher proportion of discharged patients，on the second place were old patients and the ratio of men to women was 1∶0.91.The top 6 disease of discharged patients was respectively pregnancy and delivery and puerperium，digestive system disease，respiratory disease，the factors impact health state and intacting with health care institution，injury and poison，disease with extrinsic cause and tumor.The death patients in one year were 307 cases and the fatality rate was 0.96%. Conclusion Medical business of this hospital running in good condition in 2014，but new business and new technology should be carried out positively to strengthen medical connotation，highlight the characteristics of specialized subject，strengthen infrastructure construction to enhance overall strength.

[Key words] New tertiary hospital；Statistical data；Analysis

根据原卫生部医管司[2012]105号通知，全国所有三级医院全面推进医院质量监测评价工作，并开展病案首页数据与国家卫生计生委质量监测系统（HQMS）的自动对接[1-2]。2013年9月，该院病案首页数据实现与国家卫生计生委质量监测平台的自动对接，数据质量达A级标准。现将该新升三级医院2014年与HQMS自动对接产生的数据进行系统、全面分析，以客观反映和评估医院运行、医疗服务、医疗质量状态，提升医院精细化管理水平，提高服务绩效，为医疗质量的持续改进和医院内涵的进一步提高提供依据。

1 资料与方法

1.1 一般资料

2012年12月该院通过上海市三级综合医院等级评审，晋升为三级乙等综合医院，集医疗、教学、科研于一体。……