Why are we trying to reduce length of stay? Evaluation of the costs and benefits of reducing time in hospital must start from the objectives that govern the change
Why are we trying to reduce length of stay? Evaluation of the costs and benefits of reducing time in hospital must start from the objectives that govern the change
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DOI：
10.1136/qshc.5.3.172
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发表时间：
1996-09-01
期刊：
影响因子：
--
通讯作者：
Clarke, A
中科院分区：
文献类型：
--
作者：
Clarke, A
众所周知，患有相同疾病的入院治疗患者的住院时间可能会有很大差异。人们还普遍认为，减少住院时间将降低成本，而不会影响患者的治疗效果。这意味着什么？它的基础又是什么？不难看出，为什么缩短逗留时间是管理层经常关注的焦点。这一概念是可以理解的;在这方面取得的进展也比较容易衡量。此外，其他选择充满困难。大多数管理者都意识到，在他们这一方采取行动，以鼓励在服务的其他改进-例如，通过提高临床效率-可能会被视为试图侵犯临床自由。
It is known that patients admitted for treatment with the same condition may experience considerable variation in length of stay. And it is also widely held that reductions of time spent in hospital will reduce costs with-out compromising patient outcomes. What are the implications ofthis, and what exactly is the basis for it?It is not difficult to see why reduction in stay is a frequent focus for managerial attention. The concept is an accessible one; and progress in such a reduction can be measured relatively easily. Furthermore, the alternatives are fraught with difficulty. Most managersare aware that action on their partto encourage other improvements in a service-for example, through increasing clinical effectiveness-may be seen as an attempt to infringe clinical freedom.