部队某大型综合医院集中收治模式日间治疗服务现状的调查分析  

Investigation and analysis of the current situation of daytime treatment services under the centralized treatment mode in a large-scale military hospital

作　　者：王晓雪 王萍[1] 李艳梅[1] 甘泉[1] 吴志勇[1] 杨华[1] 牛玉光[1] WANG Xiaoxue;WANG Ping;LI Yanmei;GAN Quan;WU Zhiyong;YANG Hua;NIU Yuguang(Department of Ambulatory Medicine,First Medical Center of PLA General Hospital,Beijing 100853,P.R.China)

机构地区：[1]解放军总医院第一医学中心日间诊疗科,北京100853

出　　处：《华西医学》2024年第2期213-216,共4页West China Medical Journal

摘　　要：目的 分析部队某大型综合医院集中收治模式日间治疗(除日间手术以外的其他日间医疗)服务的开展现状,为推行日间治疗集中收治模式的管理及运营等方面提供实践支持。方法 回顾性收集2021年2月7日-2023年12月31日解放军总医院第一医学中心日间诊疗科集中收治模式日间治疗患者的资料,对患者情况、日间治疗运行指标及质控指标进行统计分析。结果 日间治疗患者共14 903例,其中女8 548例,男6 355例;年龄18~74岁;住院次数≥2次者9 757例(65.47%);支付方式以医保为主(83.16%)。以乳腺癌为主要诊断的患者占比最高(26.45%);患者的治疗方式以靶向、免疫治疗为主(68.03%)。患者共出现1 146例药物相关不良反应,主要涉及抗肿瘤药物,其中15例为治疗当日处理的药物相关不良反应,另外1 131例为患者在院外发生的药物相关不良反应。2023年1月优化日间治疗住院全流程后(分时段诊疗),与2022年相比患者入院后平均等候时间缩短了26.89%,床位使用率提高了9.09%,患者满意度提高到98.98%。2023年全年的日间治疗爽约率1.15%,日间治疗当日取消率4.39%,出院随访率达100%。结论 解放军总医院第一医学中心日间诊疗科集中收治模式日间治疗以乳腺癌患者为主,主要治疗方式为靶向、免疫治疗。分时段诊疗有利于缩短患者入院后平均等候时间,提高床位使用率和患者满意度。Objective To analyze the current situation of the centralized treatment mode for daytime treatment(excluding daytime surgery)services in a large-scale military hospital,and provide practical support for the management and operation of the centralized treatment mode for daytime treatment.Methods Data on patients undergoing centralized daytime treatment in the Department of Ambulatory Medicine,First Medical Center of PLA General Hospital were retrospectively collected between February 7,2021 and December 31,2023.The patients’condition,daytime treatment operation indicators,and quality control indicators were statistically analyzed.Results A total of 14903 patients underwent daytime treatment,including 8548 females and 6355 males.The patients’age ranged from 18 to 74 years old.There were 9757 patients(65.47%)who had been hospitalized≥2 times.The main payment method for patients was medical insurance(83.16%).Breast cancer accounted for the highest proportion(26.45%).The main treatment methods for patients were targeted therapy and immunotherapy(68.03%).The patients experienced a total of 1146 drug-related adverse reactions,mainly involving anti-tumor drugs.Among them,15 cases were drug-related adverse reactions treated on the day of treatment,and the other 1131 cases were drug-related adverse reactions that occurred outside the hospital.After optimizing the entire process of daytime hospitalization(timed based treatment)in January 2023,compared to 2022,the average waiting time for patients after admission was reduced by 26.89%,the bed utilization rate increased by 9.09%,and patient satisfaction increased to 98.98%.In 2023,the default rate of daytime treatment was 1.15%,the cancellation rate of daytime treatment on the day of treatment was 4.39%,and the discharge follow-up rate reached 100%.Conclusions The daytime treatment under the centralized treatment mode in the the Department of Ambulatory Medicine,First Medical Center of PLA General Hospital focuses on breast cancer patients,and the main treatment methods

关 键 词：日间治疗 集中收治 运行效率 

分 类 号：R197.3[医药卫生—卫生事业管理]