公立医院周末手术特点及实施效果分析  

Analysis of Characteristics and Implementation Effect of Weekend Surgery in Public Hospitals

作　　者：黄丽巧 程琳[1] 罗樱樱[1] 刘立煌 果旭[1] 张颖楠[1] 冯艳芳 王晶桐[1] Huang Liqiao;Cheng Lin;Luo Yingying;Wang Jingtong(Peking University People's Hospital,Beijing,100044,China)

机构地区：[1]北京大学人民医院,北京100044

出　　处：《中国医院管理》2025年第2期46-49,共4页Chinese Hospital Management

摘　　要：目的 分析周末手术特点,探索缩短患者术前住院日和平均住院日。方法 提取样本医院实际发生的手术患者出院量、住院日等数据,采用问卷星电子问卷调研医务人员对周末手术的认可情况。采用χ2检验、独立样本秩和检验比较周末手术与非周末手术患者、手术特点等方面的差异,采用二分类logistic回归模型分析手术医师的影响因素。结果 周末手术患者住院日(3.0天)、术前住院日(0.5天)中位数低于非周末手术(5.0、1.5天),四级手术占比(28.9%)低于非周末手术(37.0%),会诊占比(10.7%)低于非周末手术(17.0%),日间试点术式占比(30.7%)高于非周末手术(20.4%)。医务人员对开展周末手术认可度较高的因素为提高患者满意度(占84.7%)和可减少术前等待风险(占84.4%),较低的因素为多科室协助配合(占58.8%)和家人支持(占45.5%)。结论 周末手术有效缩短术前住院日和住院日。考虑将会诊工作前置,将合并症管理、相关会诊及术前检查前移至门诊,将周末手术和日间手术等多种手术方式有机整合,以提高医疗运行效率。Objective To analyze the characteristics of weekend surgery,and explore to shorten the preoperative hospital stay and average hospital stay of patients. Method Extract actual data on the number of discharged surgical patients and length of hospital stay, and use the Questionnaire Star to investigate the recognition of weekend surgeries by medical staff. Using chi square test and independent sample rank sum test,compare the differences in patients and surgical characteristics between weekend surgery and non weekend surgery, and analyze the influencing factors of surgical physicians using binary logistic regression model. Result The median length of hospital stay(3.0 days) and preoperative hospital stay(0.5 days) was lower than that of non weekend surgery patients(5.0, 1.5 days);The proportion of fourth grade surgeries on weekends(28.9%) was lower than that of non weekend surgeries(37.0%);The consultation rate(10.74%) was lower than that of non weekend surgeries(17.0%);The proportion of daytime pilot surgeries(30.7%) was higher than that of non weekend surgeries(20.4%). The factors with the highest recognition among medical staff for conducting weekend surgeries were:improving patient satisfaction(84.7%) and reducing preoperative waiting risks(84.4%). The lowest factors were family support(45.5%) and multi departmental assistance and cooperation(58.8%). Conclusion Weekend surgery effectively shortens the average preoperative and average hospitalization days. Move the hospitalization consultation required for comorbidities management and preoperative examinations to the outpatient department. Mobilize the coordination and supporting resources of various departments within the hospital,and organically integrate various surgical methods such as weekend surgery and day surgery to improve the efficiency of medical operation.

关 键 词：周末手术 公立医院 住院日 

分 类 号：R197.323.2[医药卫生—卫生事业管理]