Bian Hongqiang.Reflections on original intent and practical issues of day surgery[J].Journal of Clinical Pediatric Surgery,2024,(10):901-905.[doi:10.3760/cma.j.cn101785-202407002-001]
日间手术初心与实践思考
- Title:
- Reflections on original intent and practical issues of day surgery
- Keywords:
- Day Surgery; Minimally Invasive; Child
- 摘要:
- 日间手术在早期由小儿外科医师自发开展, 在国外已有上百年历史。近十余年来, 得益于政策层面的推动, 我国开展日间手术的医院已有2 000余所。作为一种有别于传统住院手术与门诊手术的新型手术管理模式, 各地医疗机构对其理念、管理模式、发展方向的认识各有不同, 导致各地日间手术的开展情况不同。近年来医疗资源呈现扩张态势, 日间手术开展过程中也遇到了一些障碍。由于日间手术在院时间短, 对手术质量有更高的要求, 传统医疗质量管理制度不能完全适应快节奏的日间手术模式, 因此需要建立严格的准入、评估制度。只有围绕"缓解就医难、改善就医体验、提高医院绩效管理"的三个初心, 准确理解政府相关文件精神, 将以"患者为中心"的理念贯穿始终, 才能使更多患者享受到日间手术安全、高效、便捷、舒适的医疗服务。
- 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.
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备注/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