新疆某大型公立医院日间手术管理实践

Management of daytime surgery in a large public hospital in Xinjiang uygur autonomous region

目的分析新疆某大型公立医院推行日间手术的管理实践情况,为优化日间手术管理提供参考依据。方法基于医院管理视角,从建设日间手术管理体系、改良优化管理模式两个角度,对2017—2022年日间手术管理情况进行分析。结果医院自2017年起,以试点日间手术为起点,从开通日间手术绿色通道,到成立日间病房,再到开展日间化疗,不断增加日间手术病种和术式,实现国家推荐日间手术目录708个术式全开展,日间手术占择期手术比例逐步提升至23.83%,日间手术管理工作初见成效。结论当前日间手术监管范围取决于其概念界定,医院应探索符合医院实际、契合学科发展的日间诊疗创新举措,进一步完善日间手术监管与激励机制,助力公立医院高质量发展。

Objective By analyzing the practical management of daytime surgery in a large public hospital in Xinjiang Uygur Autonomous Region,this paper aims to provide a reference for optimizing the management of daytime surgery.Methods Based on hospital management,the management experiences of daytime surgery from 2017 to 2022 were analyzed from the perspectives of building the management system of daytime surgery and optimizing the management model.Results Since 2017,the hospital has initiated the pattern of pilot daytime surgery,from opening a green channel for daytime surgery,setting up daytime wards,to conducting daytime chemotherapy,continuously increasing the disease types for daytime surgery and procedures.This has led to the full development of 708 procedures in the national recommended daytime surgery catalogue,with the proportion of daytime surgery in elective surgeries gradually rising to 23.83 percent.The management of daytime surgery has achieved achievements.Conclusion The current regulatory scope of daytime surgery depends on its definition.Therefore,hospitals should pursue innovative initiatives for daytime diagnosis and treatment in line with the hospital actualities and the development of medical disciplines.This will further enhance the regulatory and incentive mechanisms for daytime surgery pattern,aiding public hospitals to develop in a high-quality manner.