加速康复外科卫生资源利用效率评价指标进展

Progress in evaluation index of health resource utilization efficiency in enhanced recovery after surgery

目的对加速康复外科(enhanced recovery after surgery,ERAS)卫生资源利用效率的评价指标进行综述,为其评价指标体系的构建提供参考。方法对近年来国内外有关ERAS卫生资源配置、利用与利用效率研究的文献进行综述。结果目前国内外尚未形成系统的ERAS卫生资源利用效率评价指标体系,既往研究中投入指标的拟定方向主要包括ERAS人力资源配置和物力资源配置,产出指标的拟定方向主要包括ERAS医疗资源的利用。结论ERAS卫生资源利用效率评价体系尚不健全且其指标体系的研究范围过窄,制约了ERAS的标准化推广。构建科学的ERAS卫生资源利用效率评价指标体系,是当前亟待解决的问题。

Objective To summarize the evaluation indexes of health resource utilization efficiency in enhanced recovery after surgery(ERAS),so as to provide reference for the construction of evaluation index system.Method Literatures on the allocation,utilization,and efficiency of ERAS health resources at home and abroad in recent years were reviewed and analyzed.Results At present,no systematic evaluation index system of ERAS health resources utilization efficiency had been formed at home and abroad.In the research,the formulation direction of input index mainly included ERAS human resources allocation and material resources allocation,while the formulation direction of output index mainly included ERAS medical resources utilization.Conclusions The evaluation system of ERAS health resources utilization efficiency is not perfect and the research scope of its index system is too small,which restricts the standardization promotion of ERAS.It is an urgent problem to construct a scientific evaluation index system for ERAS health resources utilization efficiency.