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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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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11.	張友惠, 楊云智, 易小青, 等. 醫院社區一體化延續護理的 SWOT 分析. 社區醫學雜志, 2014, 12(15): 76-78.
12.	戴燕, 張雨晨, 馬洪升, 等. 日間手術模式接受意愿及滿意度調查分析. 華西醫學, 2016, 30(4): 639-641.

1. 馬洪升. 日間醫療服務的展望. 華西醫學, 2016, 30(4): 601-602.
2. 高天陽, 朱何濤, 朱博, 等. 移動醫療時代脊柱微創日間手術模式探索. 中國醫院管理, 2016, 36(3): 52-53.
3. 傅碧綠, 廖珊, 鄧戈湛. 日間手術中心運行對住院醫療費用的影響研究. 中國病案, 2015(11): 62-64.
4. 鄭佳, 伍冀湘, 王寧利, 等. 我院開展日間手術的效果評價與分析. 中國醫院管理, 2014, 34(8): 27-29..
5. 國務院. 國務院關于發展城市社區衛生服務的指導意見(國發〔2006〕10號). (2006-02-23)[2017-06-05]. http://www.gov. cn/zwgk/2006-02/23/content_208882.htm.
6. 衛生部, 國家中醫藥管理局. 關于公立醫院支援社區衛生服務工作的意見. (2006-08-10)[2017-06-25]. http://www.gov.cn/ mohfybjysqwss/s3577/200804/17111.shtml.
7. 馬洪升, 戴燕. 日間手術治療模式國內外發展簡述. 中國醫院管理, 2012, 32(1): 47-48.
8. 邵新華, 方朕, 楊炯, 等. 關于開展日間手術的實踐和探討. 中國醫院, 2010, 14(12): 36-38.
9. 中華人民共和國國家衛生和計劃生育委員會. 衛生部關于印發《中國護理事業發展規劃綱要(2011-2015)》的通知(衛醫政發〔2011〕96號). (2011-11-31)[2017-06-25]. http://www.nhfpc.gov. cn/mohyzs/s3593/201201/53897.shtml.
10. 林夏, 馬洪升, 王琪, 等. 提升我國日間手術管理水平的思考與建議. 中國醫院管理, 2017, 37(7): 41-42.
11. 張友惠, 楊云智, 易小青, 等. 醫院社區一體化延續護理的 SWOT 分析. 社區醫學雜志, 2014, 12(15): 76-78.
12. 戴燕, 張雨晨, 馬洪升, 等. 日間手術模式接受意愿及滿意度調查分析. 華西醫學, 2016, 30(4): 639-641.

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

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