Exploration and practice of day surgery based on two-way referral system_West China Medical Journal

Authors：

WEI Wei ,  SUN Zhentao , HE Shifeng , ZHANG Wanyue , CHEN Sai , ZHANG Jie , HOU Yaxin , TANG Xiling

Department of Day Surgery Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, P. R. China;

Corresponding author：

SUN Zhentao, Email: gentlesun@126.com

Keywords：

Day surgery; two-way referral; hierarchical medical

DOI：

10.7507/1002-0179.202112025

Video：

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The First Affiliated Hospital of Zhengzhou University has explored the feasibility of day surgery based on the two-way referral system, that is, the patients underwent necessary preoperative preparations and examinations in the county hospital, contacted the referral hospital for referral-related matters, and made an appointment for surgery. After receiving day surgery at the First Affiliated Hospital of Zhengzhou University, the patients underwent short-term observation and treatment in the hospital. When the patients meet the discharge or transfer criteria, they will be discharged or transferred back to primary hospitals for rehabilitation treatment, and the day surgery center will continue to track and guide follow-up diagnosis and treatment. This article introduces the exploration and practice of day surgery for county hospitals in the First Affiliated Hospital of Zhengzhou University. This day surgery mode is highly maneuverable and is of great significance to promote the development of medical services in hospitals at all levels.

Citation： WEI Wei, SUN Zhentao, HE Shifeng, ZHANG Wanyue, CHEN Sai, ZHANG Jie, HOU Yaxin, TANG Xiling. Exploration and practice of day surgery based on two-way referral system. West China Medical Journal, 2022, 37(2): 274-277. doi: 10.7507/1002-0179.202112025 Copy

1.	李相荣, 徐宁, 汤榕. 分级诊疗背景下三级医院发展的 SWOT 分析. 卫生软科学, 2018, 32(7): 33-35.
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3.	苏爽爽. 分级诊疗制度对三级医院的影响及发展建议. 管理观察, 2018(22): 187-189.
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5.	娄兴汉. 基于医改逻辑路径的大型公立医院战略分析. 现代医院管理, 2017, 15(3): 16-19.
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9.	Odhiambo MA, Njuguna S, Waireri-Onyango R, et al. Utilization of day surgery services at upper hill medical centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness. Pan Afr Med J, 2015, 22: 28.
10.	俞德梁, 刘小南, 宁鹏涛. 首批日间手术适宜术式的探讨. 广西医学, 2016, 38(10): 1478-1481.
11.	嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
12.	杨玲, 黄小龙, 罗旭, 等. 国内外日间手术发展现状与思考. 中国卫生质量管理, 2020, 27(4): 33-37.
13.	陈亚玲, 莫洋, 谭亮, 等. 综合性医院日间手术中心的建设和运营管理. 华西医学, 2019, 34(2): 127-132.
14.	Simon BA, Assel MJ, Tin AL, et al. Association between electronic patient symptom reporting with alerts and potentially avoidable urgent care visits after ambulatory cancer surgery. JAMA Surg, 2021, 156(8): 740-746.
15.	顾旭东, 吴亚萍. 分级诊疗对日间手术管理的完善和健全作用. 华西医学, 2020, 35(2): 198-201.
16.	吕砚青, 展翔, 王平. 基于区域协同的日间手术模式探索. 华西医学, 2019, 34(2): 198-201.
17.	吴三兵, 胡焱, 辛昌茂, 等. 分级诊疗制度的实质与我国分级诊疗制度建设的出路. 中华医院管理杂志, 2016, 32(7): 485-487.

1. 李相荣, 徐宁, 汤榕. 分级诊疗背景下三级医院发展的 SWOT 分析. 卫生软科学, 2018, 32(7): 33-35.
2. 陆新华. 新医改背景下公立医院面临的经济困境及对策研究. 企业改革与管理, 2016(7): 221-222.
3. 苏爽爽. 分级诊疗制度对三级医院的影响及发展建议. 管理观察, 2018(22): 187-189.
4. 王红梅, 李诗, 李长庭. 浅谈新医改政策对三甲医院经营的影响及对策. 华人时刊(下旬刊), 2012(2): 190.
5. 娄兴汉. 基于医改逻辑路径的大型公立医院战略分析. 现代医院管理, 2017, 15(3): 16-19.
6. 于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
7. Fabricant PD, Seeley MA, Rozell JC, et al. Cost savings from utilization of an ambulatory surgery center for orthopaedic day surgery. J Am Acad Orthop Surg, 2016, 24(12): 865-871.
8. 俞卫锋. 浅谈日间手术模式. 中华麻醉学杂志, 2016, 36(5): 513-514.
9. Odhiambo MA, Njuguna S, Waireri-Onyango R, et al. Utilization of day surgery services at upper hill medical centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness. Pan Afr Med J, 2015, 22: 28.
10. 俞德梁, 刘小南, 宁鹏涛. 首批日间手术适宜术式的探讨. 广西医学, 2016, 38(10): 1478-1481.
11. 嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
12. 杨玲, 黄小龙, 罗旭, 等. 国内外日间手术发展现状与思考. 中国卫生质量管理, 2020, 27(4): 33-37.
13. 陈亚玲, 莫洋, 谭亮, 等. 综合性医院日间手术中心的建设和运营管理. 华西医学, 2019, 34(2): 127-132.
14. Simon BA, Assel MJ, Tin AL, et al. Association between electronic patient symptom reporting with alerts and potentially avoidable urgent care visits after ambulatory cancer surgery. JAMA Surg, 2021, 156(8): 740-746.
15. 顾旭东, 吴亚萍. 分级诊疗对日间手术管理的完善和健全作用. 华西医学, 2020, 35(2): 198-201.
16. 吕砚青, 展翔, 王平. 基于区域协同的日间手术模式探索. 华西医学, 2019, 34(2): 198-201.
17. 吴三兵, 胡焱, 辛昌茂, 等. 分级诊疗制度的实质与我国分级诊疗制度建设的出路. 中华医院管理杂志, 2016, 32(7): 485-487.

West China Medical Journal

Exploration and practice of day surgery based on two-way referral system

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