成都市31所医院泌尿外科主要单病种现状调查

Survey on major single diseases in urology of 31 hospitals in Chengdu

目的对成都市31所公立医院泌尿外科2种单病种的实施现状开展调查分析,为泌尿外科单病种的实施提供针对性建议。方法通过问卷调查,收集2019年成都市31所医院泌尿外科医疗服务数据,以及输尿管结石和前列腺增生症单病种诊治的相关数据,进行描述性分析。结果输尿管结石、前列腺增生症患者分别占泌尿外科住院患者的35.81%、10.66%。65.00%的医院认为输尿管镜碎石术不适合开展日间手术,96.00%的医院认为经尿道前列腺切除术不适合开展日间手术。结论建议提高成都市泌尿外科医疗技术水平,改善医疗设备,在保障医疗质量和医疗安全的前提下,逐步将经尿道输尿管结石钬激光碎石术和经尿道前列腺增生切除术作为日间手术开展。建议根据疾病诊断相关分组实施新的单病种医保支付方式。

Objective To analyze the implementation status of two single diseases in urology of 31 public hospitals in Chengdu,so as to provide targeted suggestions for the implementation of single diseases in urology.Methods The medical service data of Urology of 31 hospitals in Chengdu in 2019 and the data related to the diagnosis and treatment of single disease of ureteral calculi and benign prostatic hyperplasia were collected through questionnaire survey for descriptive analysis.Results Patients with ureteral calculi and benign prostatic hyperplasia accounted for 35.81%and 10.66%of urinary inpatients respectively.Ureteroscopic lithotripsy was unsuitable for day surgery in 65.00%of hospitals,and transurethral resection of prostate was considered unsuitable for day surgery in 96.00%of hospitals.Conclusion It is suggested to improve the medical technology level and medical equipment of urology in Chengdu.On the premise of ensuring medical quality and medical safety,transurethral holmium laser lithotripsy for ureteral calculi and transurethral resection of prostate should be carried out as day surgery.It is suggested to imply a new single disease medical insurance payment method according to disease diagnosis related groups(DRGs).