摘要
目的观察计划性手术模式对围手术期管理医疗服务效率的影响。方法回顾性分析2017年1月-2018年12月某院消化外科单一医疗组实施计划性手术模式前后的数据,对比医疗资源指标、医疗服务能力指标、医疗服务效率指标、患者满意度等的变化。结果观察组与对照组相比,可用床位资源保持不变,人力资源降低33.3%,但年收治量增长26.4%。组间年手术占比、日间手术占比、高等级手术占比及患者满意度没有差异(P>0.05)。观察组单位资源收治量较对照组增长89.7%,单位资源手术量增长90.2%,平均总住院时间较对照组明显缩短(P=0.012)。结论“当日住院,当日手术”的计划性手术模式能够提高医疗团队的医疗服务效率,改善患者的就医体验,有助于促进日间手术发展,对改善国内当前“住院难、手术难”现状有重要意义。
Objective To observe the effect of planned surgery(PS)on the efficiency of perioperative managed medical service.Methods Retrospective analysis was conducted on the data before and after the implementation of PS mode by a single medical group in the Department of Gastroenterology of a hospital from January 2017 to December 2018,and the changes of medical resource index,medical service ability index,medical service efficiency index,and patient satisfaction were compared.Results Compared with the control group,the available bed resources in the observation group remained the same,the human resources decreased by 33.3%,but the annual admissions increased by 26.4%.There were no significant differences in the proportion of annual operation,the proportion of daytime operation,the proportion of high-grade operation and patient satisfaction among groups(P>0.05).Compared with the control group,the amount of treatment per unit resource and operation per unit resource in the observation group increased by 89.7%and 90.2%,and the average total hospital stay in the observation group was significantly shortened(P=0.012).Conclusion The planned surgery mode of"same-day hospitalization,same-day operation"can improve the medical service efficiency of the medical team,improve the medical service experience of patients,and contribute to the development of day surgery.It is of great significance to improve the status"difficult hospitalization and operation"in China.
作者
俞德梁
刘小南
高博欣
徐蕾
宁鹏涛
YU Deliang;LIU Xiaonan;GAO Boxin(Xijing Hospital, Air Force Military Medical University, Xi'an, Shaanxi,710032, China)
出处
《中国卫生质量管理》
2021年第7期37-39,47,共4页
Chinese Health Quality Management
基金
西京医院学科助推计划(XJZT19X11)。
关键词
日间手术
计划性手术
手术管理
围手术期管理
医疗质量
Ambulatory Surgery
Planned Surgery
Surgery Management
Perioperative Management
Medical Quality
