摘要
自2015年国家政策支持日间手术发展以来,我国日间手术进入迅速发展的新时期,但同时也面临日间手术医疗质量与安全评价指标的空缺。目前尚无国家层面的日间手术质量与安全评价指标体系,国内相关研究也较为零散、不成体系。该文通过文献回顾与总结,基于结构-过程-结果理论,并结合国内日间手术实践经验较为丰富的医疗机构—四川大学华西医院的实际情况,综合对比了四川大学华西医院与国家医疗质量控制数据收集系统中日间手术医疗质量与安全评价指标,旨在为我国日间手术质量与安全管理和评价提供科学的方法,并为相关政策的制定提供理论依据和数据参考。
Since 2015, when the day surgery mode was officially reckoned and supported by the National Health Commission, the day surgery model has entered the new period of rapid development. But at the same time, challenges in the vacancy of the evaluation indexes of the medical quality and safety of day surgery still pose obstacles to its growth. At present, there is no nationally unified evaluating index or appraising system for the day surgery-related medical quality and safety. In this paper, based on structure-process-outcome theory, the day surgery practice and involved researching literature were retrieved, reviewed, and analyzed. Also, the practice model at West China Hospital of Sichuan University(a pioneer day surgery hospital in China) was comprehensively compared with the National Clinical Improvement System.From the aspect of day surgery medical quality and safety evaluation indicators, it is hoped to provide an evidence-based method and evaluation of day surgery, and a theoretical basis for establishing policies and data reference.
作者
蒋丽莎
孙佳璐
杨建超
马洪升
孙辉
宋应寒
马旭东
JIANG Lisha;SUN Jialu;YANG Jianchao;MA Hongsheng;SUN Hui;SONG Yinghan;MA Xudong(Day Surgery Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;National Institute of Hospital Administration,National Health Commission of the People's Republic of China,Beijing 100048,P.R.China;Business School,Hohai University,Nanjing,Jiangsu 211100,P.R.China;Department of Healthcare Quality Evaluation,Bureau of Medical Administration,National Health Commission of the People's Republic of China,Beijing 100044,P.R.China)
出处
《华西医学》
CAS
2022年第4期581-585,共5页
West China Medical Journal
基金
国家自然科学基金(72104161)。
关键词
日间手术
医疗质量
医疗安全
评价指标
结构-过程-结果理论
Day surgery
medical quality
medical safety
evaluation indicator
structure-process-outcome theory
