快速康复外科卫生经济学效益分析

Benefit analysis based on the enhanced recovery after surgery in health economics

目的:在医改背景下及价值导向型医疗理念下探讨快速康复理念推行前后结直肠恶性肿瘤手术病种在疗效、住院天数、费用、成本等方面的效益。方法:构建多元非线性回归模型,对同济大学附属第十人民医院的626例结直肠恶性肿瘤手术病案资料进行相关性分析。结果:优化的围手术期处理方案对促进患者快速康复、缩短住院天数、降低均次费用与运营成本等方面起到积极作用。结论:在保证患者医疗质量的基础上,快速康复外科的应用对各项指标的改善有积极作用,对于降低患者就医负担、加快卫生资源周转等具有现实意义。

Objective:To explore the effect of the surgery for colorectal malignant tumor on hospitalization time,the fee per time,cost after the implementation of the Enhanced Recovery After Surgery(ERAS).Method:Based on 626 examples of data of surgery for colorectal malignant tumor in Shanghai Tenth People's Hospital of Tongji University we applicate non-linear Regression analysis.Result:ERAS plays a positive role in reducing the length of stay,lowering the outpatient fee and inpatient fee per time and promoting the benefits of the medical and health resources.Conclusion:Promote the application of ERAS in hospitals on the basis of ensuring the quality of patients'medical care.