Analysis of current situation of day surgery patients’ withdrawal from hospitalization_West China Medical Journal

Authors：

XIA Yan ¹ ,  YUAN Huadi ² , XIA Feng ¹ , ZHANG Xiulai ³

1. Medical Insurance Office, the Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P. R. China;
2. Nursing Department, the Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P. R. China;
3. Medical Affairs Department, the Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P. R. China;

Corresponding?author：

YUAN Huadi, Email: yhd751024@zju.edu.cn

Keywords：

Day surgery; Withdrawal from hospitalization; Preoperative management

DOI：

10.7507/1002-0179.202012332

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the current situation of day surgery patients’ withdrawal from hospitalization, and put forward reasonable and effective measures and suggestions.Methods Descriptive statistical analysis and trend chi-square test were conducted on the hospitalization withdrawal rate of day surgery in the Day Surgery Ward of the Second Affiliated Hospital Zhejiang University School of Medicine from 2012 to 2020. The reasons for hospitalization withdrawal and the operation methods of withdrawn cases from 2019 to 2020 were descriptively analyzed.Results From 2012 to 2020, the hospitalization withdrawal rate of day surgery decreased from 4.48% to 2.19%, with a significant decrease and a linear downward trend (χ²_trend=138.500, P<0.001). From 2019 to 2020, patient factor was the most important reason for hospitalization withdrawal of day surgery, accounting for 79.72%; secondly, long waiting time for surgery, abnormal examination results, inadequate preoperative evaluation, medical insurance reimbursement, epidemic situation in 2020 and other reasons had affected the patients’ hospitalization withdrawal of day surgery to varying degrees. Endoscopic lithotripsy accounted for the largest proportion (210 cases, accounting for 20.87%) in the withdrawn procedures from 2019 to 2020, followed by minimally invasive rotary resection for breast lesions (126 cases, accounting for 12.52%).Conclusion Improving preoperative evaluation, strengthening preoperative communication, implementing efficient medical treatment, and shortening the waiting time for surgery can reduce the rate of hospitalization withdrawal of day surgery.

Citation： XIA Yan, YUAN Huadi, XIA Feng, ZHANG Xiulai. Analysis of current situation of day surgery patients’ withdrawal from hospitalization. West China Medical Journal, 2021, 36(2): 211-214. doi: 10.7507/1002-0179.202012332 Copy

1.	楊玲, 黃小龍, 羅旭, 等. 國內外日間手術發展現狀與思考. 中國衛生質量管理, 2020, 27(4): 33-37.
2.	俞德梁, 寧鵬濤, 王娟, 等. 關于日間手術定義與首批推薦適宜手術的思考. 醫學與哲學, 2015, 36(24): 5-7, 14.
3.	白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
4.	余江, 周來新, 張云福, 等. 開展院前檢查合理縮短術前平均住院日的做法. 中國醫院管理, 2016, 36(10): 40-41.
5.	于麗華. 中國日間手術發展的歷程與展望. 中國醫院管理, 2016, 36(6): 16-18.
6.	傅文靜, 李曉玲. 日間手術臨時取消的現狀及其干預的研究進展. 廣西醫學, 2020, 42(18): 2429-2432.
7.	徐嘉瑩, 宋鍇澄, 易杰, 等. 國外日間手術麻醉術前評估的新進展. 中國衛生質量管理, 2018, 25(4): 10-13.
8.	Apfelbaum JL, Connis RT, Pasternak LR, et al. Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology, 2012, 116(3): 522-538.
9.	吳莉萍, 奚凱雯, 余慧, 等. 困擾醫護人員與患者參與日間手術現狀問題的研究進展. 重慶醫學, 2020, 49(20): 3481-3485.
10.	廖文娟, 匡雪春, 劉軍, 等. 三甲醫院日間手術患者焦慮情況調查分析. 實用醫院臨床雜志, 2016, 13(3): 123-124.
11.	曹昕, 駱洪梅. 兩種床位預約模式對眼科日間手術患者到達醫院后取消手術的影響分析. 華西醫學, 2016, 31(4): 629-631.
12.	蔣麗莎, 馬洪升. 日間手術評價與監控指標初探. 華西醫學, 2019, 34(2): 202-205.
13.	蔣麗莎, 謝曉蘭, 戴燕, 等. 四川大學華西醫院日間手術入院前管理規范. 華西醫學, 2019, 34(2): 133-136.
14.	楊陳, 張學兵, 吳婷婷, 等. 評價某市兒童醫院日間手術的效果. 中國病案, 2018, 19(9): 42-45.
15.	葉家慧. AIDET溝通模式對日間手術患者焦慮情緒及滿意度的影響. 現代診斷與治療, 2020, 31(9): 1505-1506.
16.	王建安. 后疫情時代的公立醫院如何從“跑馬圈地”轉向“效率醫療”. 光明日報, 2020-08-23(6).
17.	汪雅璇. 基于平均住院日的我國醫院資源優化配置研究. 天津: 天津醫科大學, 2016.
18.	浙江省醫療保障局. 關于印發《浙江省省級及杭州市基本醫療保險住院費用DRGs點數付費實施細則（試行）》的通知. (2020-05-11)[2020-12-30]. http://ybj.zj.gov.cn/art/2020/5/11/art_1604513_42901498.html.

1. 楊玲, 黃小龍, 羅旭, 等. 國內外日間手術發展現狀與思考. 中國衛生質量管理, 2020, 27(4): 33-37.
2. 俞德梁, 寧鵬濤, 王娟, 等. 關于日間手術定義與首批推薦適宜手術的思考. 醫學與哲學, 2015, 36(24): 5-7, 14.
3. 白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
4. 余江, 周來新, 張云福, 等. 開展院前檢查合理縮短術前平均住院日的做法. 中國醫院管理, 2016, 36(10): 40-41.
5. 于麗華. 中國日間手術發展的歷程與展望. 中國醫院管理, 2016, 36(6): 16-18.
6. 傅文靜, 李曉玲. 日間手術臨時取消的現狀及其干預的研究進展. 廣西醫學, 2020, 42(18): 2429-2432.
7. 徐嘉瑩, 宋鍇澄, 易杰, 等. 國外日間手術麻醉術前評估的新進展. 中國衛生質量管理, 2018, 25(4): 10-13.
8. Apfelbaum JL, Connis RT, Pasternak LR, et al. Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology, 2012, 116(3): 522-538.
9. 吳莉萍, 奚凱雯, 余慧, 等. 困擾醫護人員與患者參與日間手術現狀問題的研究進展. 重慶醫學, 2020, 49(20): 3481-3485.
10. 廖文娟, 匡雪春, 劉軍, 等. 三甲醫院日間手術患者焦慮情況調查分析. 實用醫院臨床雜志, 2016, 13(3): 123-124.
11. 曹昕, 駱洪梅. 兩種床位預約模式對眼科日間手術患者到達醫院后取消手術的影響分析. 華西醫學, 2016, 31(4): 629-631.
12. 蔣麗莎, 馬洪升. 日間手術評價與監控指標初探. 華西醫學, 2019, 34(2): 202-205.
13. 蔣麗莎, 謝曉蘭, 戴燕, 等. 四川大學華西醫院日間手術入院前管理規范. 華西醫學, 2019, 34(2): 133-136.
14. 楊陳, 張學兵, 吳婷婷, 等. 評價某市兒童醫院日間手術的效果. 中國病案, 2018, 19(9): 42-45.
15. 葉家慧. AIDET溝通模式對日間手術患者焦慮情緒及滿意度的影響. 現代診斷與治療, 2020, 31(9): 1505-1506.
16. 王建安. 后疫情時代的公立醫院如何從“跑馬圈地”轉向“效率醫療”. 光明日報, 2020-08-23(6).
17. 汪雅璇. 基于平均住院日的我國醫院資源優化配置研究. 天津: 天津醫科大學, 2016.
18. 浙江省醫療保障局. 關于印發《浙江省省級及杭州市基本醫療保險住院費用DRGs點數付費實施細則（試行）》的通知. (2020-05-11)[2020-12-30]. http://ybj.zj.gov.cn/art/2020/5/11/art_1604513_42901498.html.

West China Medical Journal

Analysis of current situation of day surgery patients’ withdrawal from hospitalization

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content