肿瘤预防与治疗2019,Vol.32Issue(6):499-502,4.DOI:10. 3969/j. issn. 1674-0904. 2019. 06. 005
声带良性肿物日间手术集中式管理模式运行效果分析*
Effect of Centralized Management of Ambulatory Surgery for Benign Vocal Cord Tumors
摘要
Abstract
To investigate the difference between ambulatory surgery by centralized management and decentralized man-agement, discuss the operation and management of ambulatory surgery center, so as to provide experience for further promotion of am-bulatory surgery service. Methods: A total of 703 cases of benign vocal cord tumors in ambulatory surgery center and 126 cases of be-nign vocal cord tumors in general wards of Otorhinolaryngology Department in West China Hospital of Sichuan University from June 2018 to March 2019 were selected. Hospital stay, waiting time, hospitalization expenses, patients' satisfaction with medical process and medical effect were compared. Results: The average waiting time in the centralized day operation management group were signifi-cantly lower than that in the decentralized day operation management group, and the average waiting time decreased by 48. 0% ( P<0. 05). The average total hospitalization expenses, operation expenses and anesthesia expenses in the centralized daytime operation management group were significantly lower than those in the decentralized daytime operation management group (P<0. 05), while oth- er medical expenses ( cost of treatment, examinations, materials, beds, radiological examinations, nursing, laboratory examinations, medicine) in the centralized management group were significantly lower than those in the decentralized daytime operation management group (P>0. 05). There was a significant difference in satisfaction with the medical process between the two groups (P<0. 05), but there was no significant difference in the satisfaction with the medi-cal effect between the two groups (P>0. 05). Conclusion: Centralized day surgery management can effectively reduce hospitalization time, hospitalization waiting time and hospitalization expenses, and also provide medical satisfaction.关键词
声带良性肿物/日间手术/管理模式/效果Key words
Benign vocal cord tumors/Ambulatory surgery/Management mode/ Effect分类
医药卫生引用本文复制引用
蔡雨廷,陈小婷,肖珊,宋应寒,马洪升,戴燕..声带良性肿物日间手术集中式管理模式运行效果分析*[J].肿瘤预防与治疗,2019,32(6):499-502,4.基金项目
国家自然科学基金青年科学基金项目(编号:71804117) This study was supported by Youth Science Foundation Project of National Natural Science Foundation of China (NO. 71804117) . (编号:71804117)