四川省某三级综合医院日间手术优先术种筛选研究

doi:10.3969/j.issn.1006-5253.2023.03.010

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摘要目的评价四川省某三级综合医院日间手术各疾病诊断相关分组（DRG）减少的住院时间和费用，为日间手术术种的筛选提供依据。方法回顾分析2021年6月至2022年5月某医院手术患者信息，收集其治疗期间相关数据，将未实施日间手术模式的患者作为对照组，实施日间手术模式患者作为观察组，采用SPSS分析2组治疗期间相关指标及住院费用，并运用DRG评价体系进行评价。结果共纳入研究对象1 621人，其中日间手术患者543人，住院择期手术患者1 078例。在住院时间方面，日间手术术种均低于住院择期手术，差异具有统计学意义（P＜0.05）；在住院费用方面，日间手术除睑球粘连分离术、伸指肌腱缝合术在2组间差异无统计学意义（P＞0.05），其他术种2组间差异均具有统计学意义（P＜0.05）；在日间/住院择期综合指数方面，尿道病损切除术、经尿道输尿管支架置入术、骨折内固定装置去除术的综合指数均＜0.1，其余术种综合指数均≥0.1且＜0.5。结论根据日间/住院择期综合指数排序，可以将指数最小的术种作为同等安全级别下日间手术的优先术种，指数较大的术种作为日间手术的一般术种。

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	黄勤
	许饬珩
	陈新宇

关键词 ：日间手术, 疾病诊断相关分组, 住院时间, 医疗费用

Abstract：Objective To assess the efficacy of day surgery in reducing the hospitalization duration and cost for different diagnosis-related groups (DRGs) in a tertiary general hospital situated in Sichuan Province and to provide crucial evidence to facilitate the identification of suitable types of day surgery for screening purposes.Methods The information of patients undergoing surgery in a hospital from June 2021 to May 2022 was retrospectively analyzed, and the relevant data during the treatment period were collected. Patients who did not perform the day surgery mode were taken as the control group, and patients who performed the day surgery mode were taken as the observation group. SPSS was used to analyze the relevant indicators and hospitalization costs during the treatment of the two groups, and DRG evaluation system was used for evaluation.Results There were 1 621- patients including 543 patients with day surgery, and 1 078 hospitalized patients with elective surgery. In terms of hospital stay, day surgery was lower than elective surgery in hospital, and the difference was statistically significant (P<0.05). In terms of hospitalization costs, there was no statistically significant difference observed between the two groups in blepharon adhesion separation and extensor tendon suture (P>0.05). However, a significant difference was observed between the two groups for other surgical procedures (P<0.05). In terms of day/hospital choice composite index, the composite indexes of urethral lesion resection, transurethral ureteral stenting and fracture internal fixation removal were all<0.1, and the composite indexes of other procedures were all≥0.1 and <0.5.Conclusion Based on the assessment of the day/hospital choice comprehensive index, surgical procedures with lower index values can be prioritized for day surgery while maintaining the same level of safety. Conversely, surgical procedures with higher index values can be classified as general operations.

Key words： day surgery diagnosis-related group hospitalization time medical expense

收稿日期: 2022-09-08

PACS:

基金资助:四川省卫生信息学会科研课题

通讯作者: 通信作者：陈新宇，Email：371636843@qq.com

引用本文:

黄勤，许饬珩，陈新宇. 四川省某三级综合医院日间手术优先术种筛选研究[J]. 中国医院统计, 2023, 30(3): 211-215.
Huang Qin，Xu Chiheng，Chen Xinyu. Screening of priority day surgery types in a tertiary general hospital in Sichuan Province. journal1, 2023, 30(3): 211-215.

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