摘要
为了解上海市级医院住院一站式服务开展现状和初步成效,采用现场调研、文献研究及问卷调查等方法对上海市级医院开展住院一站式服务情况进行了调研及分析。至2017年底,上海已有12所三级医院开展住院一站式服务,年服务患者合计8.04万人次,服务病种范围涵盖日间手术病种、医院重点病种、全院内外科室或所有手术科室等。市级医院结合医院服务场所条件和患者需求,因地制宜形成了3种不同管理模式,提高了床位使用效率,改善了患者就医体验,降低了患者住院费用,并优化了临床人力配置。同时,相关服务项目和服务流程有所差异,需要加强指导和交流,进一步推动该项工作的规范开展。
To assess the status quo and effectiveness of one-stop inpatient care in Shanghai municipal hospitals, field investigation, literature research and questionnaire survey method were used. It shows that there are 80.4 thousand inpatients which covered medicine departments and surgery departments, day surgery diseases and important diseases in 12 municipal hospitals have been received one-stop inpatient care in Shanghai. With the hospital situation and patients' demand, 3 management modes have been shaped. On stop inpatient service have been improved bed efficiency, promoted patient experiences, reduced medical expenditure and optimized human resources allocation. Differences also existed in service item and process and needs to be standardized.
引文
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