日间手术管理模式对乳腺良性病变患者住院情况及医疗资源利用效率的影响
| 作者: |
1黄怡,
1朱宏颖,
1程柳榕,
1曾正慧,
1蔡秋,
1柯雅娟
1 海南省人民医院手术室，海南医学院附属海南医院，海口 570203 |
| 通讯: |
柯雅娟
Email: shoushushi.1@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.09.026 |
摘要
目的：探讨实施日间手术管理模式对乳腺良性病变患者住院情况和医疗资源利用率的影响。方法：回顾性分析2019年1月至12月在海南省人民医院完成手术治疗的200例乳腺良性病变患者的临床资料，均为女性。其中82例在日间诊疗中心按照日间手术管理模式接受手术治疗，记为日间手术组(n=82)；另外118例在乳腺外科按照常规手术模式接受手术治疗，记为常规手术组(n=118)。整理两组乳腺良性病变患者的一般资料，比较两组手术效果、住院时间、医疗费用和术后并发症的差异，自制调查问卷评估两组患者的满意度。结果：日间手术组手术等待时间(2.03±0.45) h、住院时间(1.00±0.00) d均短于常规手术组[分别(40.37±4.28) h，(3.87±0.63) d]，医疗费用[(4 837.26±392.54)元]也显著低于常规手术组[(6 259.40±536.09)元]，差异有统计学意义(t=80.747、41.221、20.499，P<0.05)；两组手术并发症发生率比较，差异无统计学意义(χ2=0.084，P>0.05)，日间手术组满意度(97.56%)明显高于常规手术组(88.98%；χ2=5.131，P<0.05)。结论：日间手术管理模式能显著缩短乳腺良性病变患者手术等待时间、住院时间和减少医疗费用，提高患者服务体验满意度和医院病床等医疗资源利用效率，是一种实现患者和医院双赢的医疗模式。
关键词：
乳腺良性病变；日间手术管理模式；常规住院手术模式；住院时间；医疗费用；满意度
Effect of daytime operation management mode on hospitalization and utilization efficiency of medical resources in patients with benign breast lesions
CorrespondingAuthor: KE Yajuan Email: shoushushi.1@163.com
DOI: 10.3978/j.issn.2095-6959.2021.09.026
Abstract
Objective: To explore the effect of daytime operation management mode on hospitalization and utilization of medical resources in patients with benign breast lesions. Methods: The clinical data of 200 patients with benign breast lesions who underwent surgical treatment in our hospital from January to December 2019 were retrospectively analyzed. Among them, 82 patients received operation in the daytime diagnosis and treatment center according to the daytime operation management mode, who were recorded as the daytime operation group (n=82); the other 118 patients received surgery in the breast surgery according to the routine operation mode, who were recorded as the routine operation group (n=118). The general data of the two groups were sorted out, and the differences of operation effect, hospitalization time, medical expenses, and postoperative complications between the two groups were compared. The self-made questionnaire was used to evaluate the satisfaction degree of the two groups. Results: The operation waiting time (2.03±0.45) h, and hospital stay (1.00±0.00) d in the daytime operation group were shorter than those in the routine operation group (40.37±4.28) h and (3.87±0.63) d, respectively, and the medical expense [(4 837.26±392.54) CNY] was significantly lower than that in the routine operation group [(6 259.40±536.09) CNY], and the difference was significant (t=80.747, 41.221, 20.499, P<0.05). There was no significant difference in the incidence of surgical complications between the two groups (χ2=0.084, P>0.05). The satisfaction degree of the daytime operation group was 97.56%, which was significantly higher than that of the routine operation group (88.98%) (χ2=5.131, P<0.05). Conclusion: Daytime operation management mode can significantly shorten the waiting time and hospitalization time of patients with benign breast lesions, reduce medical expenses, improve the satisfaction degree of patients’ service experience and the utilization efficiency of hospital beds and other medical resources. It is a win-win medical mode for patients and hospitals.
Keywords：
benign breast lesions; daytime operation management mode; routine hospitalization operation mode; hospitalization time; medical expenses; satisfaction degree