Bian Hongqiang.Reflections on original intent and practical issues of day surgery[J].Journal of Clinical Pediatric Surgery,,():901-905.[doi:10.3760/cma.j.cn101785-202407002-001]
Reflections on original intent and practical issues of day surgery
- Keywords:
- Day Surgery; Minimally Invasive; Child
- Abstract:
- Day surgery was initially pioneered by pediatric surgeons and has a history of over a century in foreign countries.In the past decade or so, driven by policy initiatives, more than 2000 hospitals in China have implemented day surgery.As a new surgical management model distinct from traditional inpatient and outpatient surgeries, various medical institutions have different understandings, management philosophies, and development directions for day surgery, leading to inconsistent concepts, standards, and recommended surgical procedures across regions.The expansion of medical resources in recent years has also encountered some obstacles in the implementation of day surgery.Given the shorter hospital stay and higher quality requirements of day surgery, traditional medical quality management systems are not fully adapted to the fast-paced day surgery model.Therefore, strict admission and evaluation systems need to be established.The practice of day surgery must focus on the three original intents of alleviating difficulties in accessing medical care, improving the medical experience, and enhancing hospital performance management.It is crucial to accurately understand the spirit of relevant government documents and consistently apply the patient-centered approach to ensure that more patients can benefit from safe, efficient, convenient, and comfortable day surgery services.
References:
[1] 于丽华.中国日间手术发展的历程与展望[J].中国医院管理, 2016, 36(6):16-18. Yu LH.Development and prospect of day surgery in China[J].Chin Hosp Manag, 2016, 36(6):16-18.
[2] 郭莉, 高兴莲, 柯稳, 等.医疗机构日间手术开展及规范化管理现况调查[J].中国护理管理, 2024, 24(4):576-581.DOI:10.3969/j.issn.1672-1756.2024.04.018. Guo L, Gao XL, Ke W, et al.Status of standardized management of ambulatory surgery in China[J].Chin Nurs Manag, 2024, 24(4):576-581.DOI:10.3969/j.issn.1672-1756.2024.04.018.
[3] Bailey CR, Ahuja M, Bartholomew K, et al.Guidelines for day-case surgery 2019:Guidelines from the Association of Anaesthetists and the British Association of Day Surgery[J].Anaesthesia, 2019, 74(6):778-792.DOI:10.1111/anae.14639.
[4] Young DG, Carachi R.James H Nicoll, MB, CM Glasg, FRFPS Glasg.Legion of Honour France, father of day surgery[J].Scott Med J, 2006, 51(1):48-50.DOI:10.1258/rsmsmj.51.1.48.
[5] 潘少川, 张金哲.在门诊施行小儿疝修补术的体会[J].中华外科杂志, 1966, 14(6):366-367. Pan SC, Zhang JZ.Experience of performing pediatric hernia repair surgery in outpatient department[J].Chin J Surg, 1966, 14(6):366-367.
[6] Moir CR, Blair GK, Fraser GC, et al.The emerging pattern of pediatric day-care surgery[J].J Pediatr Surg, 1987, 22(8):743-745.DOI:10.1016/s0022-3468(87)80618-8.
[7] 杨楚墩, 刘里仁, 马春秋, 等.12099例小儿腹股沟疝和鞘膜积液门诊手术的体会[J].中华外科杂志, 1991, 29(5):278-280. Yang CD, Liu LR, Ma CQ, et al.Experience of outpatient surgery for 12099 cases of inguinal hernia and hydrocele in children[J].Chin J Surg, 1991, 29(5):278-280.
[8] 陈亚军, 卞红强.小儿外科日间手术在中国的建立与发展[J].中华小儿外科杂志, 2020, 41(8):673-675.DOI:10.3760/cma.j.cn421158-20200326-00202. Chen YJ, Bian HQ.Establishment and development of pediatric ambulatory surgery in China[J].Chin J Pediatr Surg, 2020, 41(8):673-675.DOI:10.3760/cma.j.cn421158-20200326-00202.
[9] 张继东, 闻大翔, 范关荣.日间手术对缩短平均住院日的影响[J].中国医院管理, 2009, 29(11):27-28.DOI:10.3969/j.issn.1001-5329.2009.11.011. Zhang JD, Wen DX, Fan GR.Effect of day surgery for shortening the average duration of hospital stay[J].Chin Hosp Manag, 2009, 29(11):27-28.DOI:10.3969/j.issn.1001-5329.2009.11.011.
[10] 戴燕, 李继平, 刘素珍, 等.华西医院日间手术服务模式的构建[J].四川医学, 2013, 34(7):1124-1126.DOI:10.3969/j.issn.1004-0501.2013.07.106. Dai Y, Li JP, Liu SZ, et al.Construction of day surgery service model in west China hospital[J].Sichuan Med J, 2013, 34(7):1124-1126.DOI:10.3969/j.issn.1004-0501.2013.07.106.
[11] 中华人民共和国国务院办公厅.国务院办公厅关于加强三级公立医院绩效考核工作的意见:国办发[2019]4号.(2019-01-30).https://www.gov.cn/zhengce/content/2019-01/30/content_5362266.htm. General Office of the State Council of the People’s Republic of China.Opinions of the General Office of the State Council on strengthening the performance evaluation of third tier public hospitals:Guobanfa [2019] No.4.(2019-01-30).https://www.gov.cn/zhengce/content/2019-01/30/content_5362266.htm.
[12] 中华人民共和国国家卫生健康委员会办公厅.国家卫生健康委办公厅关于印发日间手术推荐目录(2022年版)的通知:国卫办医函[2022]38号.(2022-02-25).http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=f57ca70b23f34ca88308979ef19bde4b. Office of the National Health Commission of the People’s Republic of China.Notice from the General Office of the National Health Commission on issuing the recommended catalogue for day surgery (2022 edition):National Health Office Medical Letter [2022] No.38.(2022-02-25).http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=f57ca70b23f34ca88308979ef19bde4b.
[13] Marbaniang MJ.Day surgery guidelines[J].Surgery (Oxf), 2019, 37(12):706-711.DOI:10.1016/j.mpsur.2019.10.007.
[14] 潘胜东, 夏萍, 徐莉, 等.规范日间手术病历书写若干问题的思考[J].中华医院管理杂志, 2017, 33(10):781-783.DOI:10.3760/cma.j.issn.1000-6672.2017.10.019. Pan SD, Xia P, Xu L, et al.Standardization of ambulatory surgery medical records[J].Chin J Hosp Adm, 2017, 33(10):781-783.DOI:10.3760/cma.j.issn.1000-6672.2017.10.019.
[15] 国家卫生健康委医院管理研究所日间医疗专家库, 《日间手术病历书写与管理专家共识(2024版)》专家工作组.日间手术病历书写与管理专家共识(2024版)[J].中华医院管理杂志, 2024, 40(4):254-262.DOI:10.3760/cma.j.cn111325-20240206-00101. Day Surgery Expert Group of National Institute of Hospital Administration, National Health Commission, Expert Working Group on Expert Consensus on the Writing and Management of Day Surgery Medical Records (2024 Edition).Expert consensus on the writing and management of day surgery medical records (2024 edition)[J].Chin J Hosp Admin, 2024, 40(4):254-262.DOI:10.3760/cma.j.cn111325-20240206-00101.
[16] 雷东旭, 陈柳妹, 潘永英, 等.小儿日间手术集中管理模式探讨[J].中华小儿外科杂志, 2020, 41(8):698-703.DOI:10.3760/cma.j.cn421158-20200226-00119. Lei DX, Chen LM, Pan YY, et al.Perioperative management of pediatric ambulatory surgery[J].Chin J Pediatr Surg, 2020, 41(8):698-703.DOI:10.3760/cma.j.cn421158-20200226-00119.
[17] 马敬伟, 卞红强, 段栩飞, 等.小儿日间手术安全性分析[J].中华小儿外科杂志, 2020, 41(8):704-709.DOI:10.3760/cma.j.cn421158-20200330-00222. Ma JW, Bian HQ, Duan XF, et al.Safety analysis of pediatric day surgery[J].Chin J Pediatr Surg, 2020, 41(8):704-709.DOI:10.3760/cma.j.cn421158-20200330-00222.
[18] Upadhyaya M, Lander A.Day-case surgery in children[J].Surgery (Oxf), 2013, 31(3):140-144.DOI:10.1016/j.mpsur.2013.01.010.
[19] 鲍益耀, 胡书奇, 黄寿奖.中国小儿日间手术发展的基本现状调查与思考[J].中华小儿外科杂志, 2020, 41(8):692-697.DOI:10.3760/cma.j.cn421158-20200228-00127. Bao YY, Hu SQ, Huang SJ.Current status and development of pediatric ambulatory surgery in China[J].Chin J Pediatr Surg, 2020, 41(8):692-697.DOI:10.3760/cma.j.cn421158-20200228-00127.
[20] 中华人民共和国国家卫生健康委员会办公厅.国家卫生健康委办公厅关于印发手术质量安全提升行动方案(2023-2025年)的通知:国卫办医政发[2023]10号.(2023-08-22).https://www.gov.cn/zhengce/zhengceku/202308/content_6900753.htm. Office of the National Health Commission of the People’s Republic of China.Notice from the General Office of the National Health Commission on issuing the action plan for improving surgical quality and safety (2023-2025):National Health Commission Medical and Political Affairs Office [2023] No.10.(2023-08-22).https://www.gov.cn/zhengce/zhengceku/202308/content_6900753.htm.
Memo
收稿日期:2024-7-1。
基金项目:武汉市小儿微创诊治临床研究中心(武科计-2016-31)
通讯作者:卞红强,Email:bianhongqiang@126.com