摘要
目的了解广西某三级甲等医院实施日间手术管理对住院费用的影响。方法选取医院2018年5月实施日间手术管理后开展日间手术量最多的10个病种,采用中断时间序列分析2017年1月—2020年12月期间各病种住院费用的水平变化和趋势变化。结果共纳入4400例患者,开展日间手术使阵发性室上性心动过速和冠状动脉粥样硬化性心脏病—造影的住院费用分别立即下降3648.15元和3708.05元;胆囊结石/胆囊息肉和急性单纯性阑尾炎在开展日间手术前住院费用呈上升趋势,开展日间手术后住院费用每月分别下降74.81元和77.34元,较开展前每月降幅分别增加568.58元和382.54元。结论医院实施日间手术管理后大部分病种的住院费用逐渐下降,可有计划地扩大日间手术的开展量和病种范围,不断完善日间手术管理制度。
Objective Evaluate the effect of day surgery on hospitalization expenses in a third-grade hospital in Guangxi.Methods Selected 10 diseases with the largest amount of day surgery after the implementation of day surgery in May 2018 and used the interrupted time series to analyze the changes and trends in the level of hospitalization expenses for each disease from January 2017 to December 2020.Results A total of 4400 cases were included in this study.Day surgery reduced the hospitalization expenses for paroxysmal supraventricular tachycardia and coronary atherosclerotic heart disease-coronary angiography by 3648.15 yuan and 3708.05 yuan,respectively.Gallbladder stones/polyps and acute simple appendicitis showed an upward trend in hospitalization expenses before day surgery.After the day surgery,the hospitalization expenses for gallbladder stones/polyps and acute simple appendicitis decrease by 74.81 yuan and 77.34 yuan per month,which is an increase of 568.58 yuan and 382.54 yuan respectively compared with the monthly decrease before the commencement.Conclusion The hospitalization expenses of most diseases have gradually decreased after day surgery.The hospital can expand the number of day surgery and the scope of diseases in a planned way,and improve the day surgery management system continuously.
作者
周宏珍
吴韫宏
滕燕飞
周琳
韦名超
Zhou Hongzhen;Wu Yunhong;Teng Yanfei(The Second Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi,530007,China;不详)
出处
《中国医院管理》
北大核心
2022年第3期52-55,共4页
Chinese Hospital Management
基金
广西高校中青年教师科研基础能力提升项目(2020KY03055)。
关键词
日间手术
住院费用
中断时间序列
day surgery
hospitalization expenses
interrupted time series
