天津市某三级医院日间手术的运行实践与思考

Practice and reflection of day surgery in a tertiary hospital in Tianjin

目的分析天津市某公立医院日间手术实施情况,以问题为导向,为日间手术开展数量和服务质量的提升提供参考依据。方法对天津市某公立医院2020—2022年日间手术实施情况进行分析。结果该公立医院3年间开展的日间手术术式以二级手术(43种)和三级手术(28种)为主。各专业学科实施完成的日间手术以肛肠外科、泌尿外科、骨科开展数量最多,其中肛肠外科日间手术人数占70.76%(2285/3229)。结论在专业学科发展、日间手术管理体系、医疗服务保障方面仍需进一步健全,加强对日间手术管理路径中的薄弱环节建设,提升日间服务的覆盖范围和可及性。

Objective To analyze the implementation of day surgery in a public hospital in Tianjin,and to provide reference for the quantity and quality of day surgery.Methods The implementation of day surgery in a public hospital in Tianjin from 2020 to 2022 was analyzed.Results From 2020-2022,the main types of daytime operations were secondary(43 kinds)and tertiary operations(28 kinds).In terms of the implementation of professional disciplines,anorectal surgery,urology surgery and orthopedics carried out the largest number of operations,among which anorectal surgery accounted for 70.76%(2285/3229).Conclusion It is necessary to further improve the development of professional disciplines,the management system of day surgery,and the guarantee of medical services,strengthen the construction of weak links in the management path of day surgery and improve the coverage and accessibility of day service.