中国日间手术政策演变及对医疗决策发展的启示

Review and Prospect of the Policy on Ambulatory Surgery in China

日间手术作为欧美的主流外科模式,在21世纪初由中国部分医疗机构自发引入,以期解决"住院难、住院贵"的难题。随着其优势逐渐得到社会各界认可,更多的医疗机构加入其中,2011年,成都市政府将日间手术的开展纳入年度政府工作目标,从而正式在中国得到政策支持。其后各地政府支持力度逐渐加大,2012年江苏省发布国内首个规范日间手术开展的省级政策文件,2015年国家卫计委、国务院先后发布国家级政策文件,为进一步改革国内日间手术发展的制度性障碍奠定基础。日间手术经历十余年的发展,国内对其政策的演变也值得思考,从二者的互动中可以得到一些关于未来日间手术发展的有益启示。

Ambulatory surgery（AS）as the main surgical model in Europe and America,was introduced to some medical institutions in China spontaneously at the beginning of this century,in order to solve the situation of lacking of medical care and high price of hospitalization.With its advantage gradually recognized by society,this mode is employed by more and more medical institutions,as a result it gained the policy support in 2011,which was taken in the annual target of the government of Chengdu city.Subsequently,the first provincial government document about AS was published by Jiangsu Province in 2012,and the national documents was released by National Health and Family Planning Commission and the State Council in 2015,which established the base to reform the institutional barriers about the development of AS.With the development of AS experienced more than ten years,the evolution of the policy on AS is worth thinking,and some useful inspirations about the further development of AS may be found from the interaction between them.