Running effect of modified hospital-community integrated service mode in day surgery_West China Medical Journal

Authors：

LAI Xiaoqin , SONG Yinghan ,  MA Hongsheng , DAI Yan

Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

MA Hongsheng, Email: mahongsheng63@163.com

Keywords：

Day surgery; Hospital-community integrated service; Two-way referral; Running effect

DOI：

10.7507/1002-0179.201709090

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the running effect of the modified hospital-community integrated two-way-referral service mode in day surgery. Methods The hospital-community integrated two-way-referral service mode in day surgery was built in May 2014 by our center, and applied in the communities’ health service network in Chenghua District, Wuhou District, and Jinjiang District. From March 2017 some improvements of the mode were made, such as assigning specific person for the management of two-way-referral, conducting lectures in communities to train the community medical staff, and carrying out gratuitous treatment. The community acceptance rate and patients satisfaction were retrospectively analyzed between March of 2016 and March of 2017, and the number of upward referral (from community to hospital) was retrospectively analyzed between March to June of 2016 and March to June of 2017. Results The community acceptance rate was elevated from 81.3% to 99.1% and the patients satisfaction was improved from 95.4% to 100.0%, and the differences between the two periods were statistically significant (P<0.05). The number of upward referral increased from 0 to 23. Conclusions The modified hospital-community integrated service mode could optimize the course of surgery appointment, and make it convenient for patients. Furthermore, it also adjusts the reasonable allocation of medical resource effectively and promotes the implementation of national hierarchical medical system.

Citation： LAI Xiaoqin, SONG Yinghan, MA Hongsheng, DAI Yan. Running effect of modified hospital-community integrated service mode in day surgery. West China Medical Journal, 2017, 32(11): 1689-1692. doi: 10.7507/1002-0179.201709090 Copy

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1. 马洪升. 日间医疗服务的展望. 华西医学, 2016, 30(4): 601-602.
2. 高天阳, 朱何涛, 朱博, 等. 移动医疗时代脊柱微创日间手术模式探索. 中国医院管理, 2016, 36(3): 52-53.
3. 傅碧绿, 廖珊, 邓戈湛. 日间手术中心运行对住院医疗费用的影响研究. 中国病案, 2015(11): 62-64.
4. 郑佳, 伍冀湘, 王宁利, 等. 我院开展日间手术的效果评价与分析. 中国医院管理, 2014, 34(8): 27-29..
5. 国务院. 国务院关于发展城市社区卫生服务的指导意见(国发〔2006〕10号). (2006-02-23)[2017-06-05]. http://www.gov. cn/zwgk/2006-02/23/content_208882.htm.
6. 卫生部, 国家中医药管理局. 关于公立医院支援社区卫生服务工作的意见. (2006-08-10)[2017-06-25]. http://www.gov.cn/ mohfybjysqwss/s3577/200804/17111.shtml.
7. 马洪升, 戴燕. 日间手术治疗模式国内外发展简述. 中国医院管理, 2012, 32(1): 47-48.
8. 邵新华, 方朕, 杨炯, 等. 关于开展日间手术的实践和探讨. 中国医院, 2010, 14(12): 36-38.
9. 中华人民共和国国家卫生和计划生育委员会. 卫生部关于印发《中国护理事业发展规划纲要(2011-2015)》的通知(卫医政发〔2011〕96号). (2011-11-31)[2017-06-25]. http://www.nhfpc.gov. cn/mohyzs/s3593/201201/53897.shtml.
10. 林夏, 马洪升, 王琪, 等. 提升我国日间手术管理水平的思考与建议. 中国医院管理, 2017, 37(7): 41-42.
11. 张友惠, 杨云智, 易小青, 等. 医院社区一体化延续护理的 SWOT 分析. 社区医学杂志, 2014, 12(15): 76-78.
12. 戴燕, 张雨晨, 马洪升, 等. 日间手术模式接受意愿及满意度调查分析. 华西医学, 2016, 30(4): 639-641.

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West China Medical Journal

Running effect of modified hospital-community integrated service mode in day surgery

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