日间手术预住院统一管理模式的建设和实践探讨

Discussion on the Construction and Practice of Unified Management Model of Pre-Admission for Day Surgery

日间手术作为国家医药卫生体制改革的重点任务之一,在我国正处于快速发展阶段。综合性医院日间手术中心在建设和运营过程中需依据日间手术的标准、优势,结合医保政策,构建一套科学、规范且具有自身特色的日间手术服务体系,覆盖患者术前评估、入院、手术、出院、随访、康复等全流程。文章旨在介绍广东某三甲医院以麻醉医生为主导的日间手术中心,实行一站式统一管理日间手术预住院期术前准备。采用集中和分散方式并行,实现入院即手术,中心统一随访,建立完善的信息系统平台和智能随访系统,实时数据监控。预住院管理模式在为日间手术患者提供便捷服务的基础上,提高了医护人员的工作效率,缩短了患者术前在院停留时间,降低了医院感染的风险。日间手术管理中心采用一站式统一管理日间手术预住院,遵循临床路径管理和全病程康复与健康教育体系。经论证表明,广东某三甲医院日间手术服务模式取得了良好的社会和经济效益,实现了一定的成果。

As one of the key tasks in the reform of the national medical and health system,day surgery is in a rapid development stage in China.Comprehensive hospital day surgery centers need to construct a scientific,standardized and distinctive day surgery service system based on the standards,advantages and characteristics of day surgery,combined with medical insurance policies,covering the entire process of patient preoperative evaluation,admission,surgery,discharge,follow-up and rehabilitation.This article aims to introduce a day surgery center led by anesthesiologists in grade A tertiary hospital in Guangdong,which implements a centralized and standardized management system for day surgery pre-admission preparation.The admission ward adopts both centralized and decentralized methods to achieve surgery upon admission,with unified follow-up by the center,and the establishment of a comprehensive information system platform and intelligent follow-up system with real-time data monitoring.The pre-admission management model not only provides convenient services for day surgery patients but also improves the work efficiency of medical staff,shortens the preoperative hospital stay time for patients,and reduces the risk of hospital cross-infection.The day surgery management center adopts a onestop unified management system for day surgery pre-admission,following the clinical pathway management and the whole process rehabilitation and health education system.The demonstration shows that the day surgery service model of grade A tertiary hospital in Guangdong has achieved good social and economic benefits and has achieved certain results.