تأثير حضور تمام وقت پزشك متخصص بر مدت اقامت بيماران بخش زنان و زايمان بيمارستان تأمين اجتماعي يزد، سال 1387

The Effect of The Presence of Full Time Gynecologist on Length of Stay among Inpatient of Gynecology Ward in Yazd Social Security Hospital, 2008

Background: The lack of resources and optimum utilization of available resources is the main challenge for the management at all hospital. one of the suggested solutions for this problem is to reduce average length of stay of hospital. The main goal of this study was to determine the effect of the presence of full time gynecologist on the patients length of stay in gynecology ward in yazd social security hospital. Methods: This study started with intervention of the presence of full time gynecologist in hospital and analysis of its effect on the reduction length of stay of patient in gynecology ward in yazd social security hospital. This study was performed at 3 months before (2007) and 3 months after (2008) intervention. This analysis was carried out with calculation and comparison of average length of stay index of 3 physician before and after intervention. Results: The average length of stay index in cesarean section before intervention was 2.55 days and after that 2.22 days. The average length of stay index in patient with Social Security insurance before intervention was 1.98 days and after that 1.77 days. The Presence of Full Time Gynecologist had significant effect on Length of Stay among Inpatient of Gynecology Ward (p=0.001). Conclusion: The finding showed that the presence of full time professional physician has reduced the length of stay in hospital. by using this method, the efficiency of hospital beds will increase and so lake of hospital beds in Iran can be solved.