摘要
日间手术是推动分级诊疗、形成"手术在医院,康复在社区"诊疗模式的一种重要的诊疗方式,同时,分级诊疗的推进与落实也为日间手术管理的健全与完善提供了制度上的支持与促进。该文基于东部战区总医院日间手术管理中心的实践经验,探讨社区和二级医院的"守门人"作用和健康指导对三级医院日间手术管理的健全与完善作用,并以东部战区总医院日间手术中占比最多的骨科日间手术为例,探索可行的日间手术分级诊疗双向转诊模式,具体化各级医院的职责和工作。
Day surgery is an important diagnosis and treatment modality to promote hierarchical diagnosis and treatment and form a"surgery in hospital,recovery in community"diagnosis and treatment mode.At the same time,the promotion and implementation of hierarchical diagnosis and treatment provides institutional support and promotion for the perfection of day surgery management.Based on the experience from the Day Surgery Centre of General Hospital of Eastern Theater Command,this paper investigates the role of"gate-keepers"and recovery guidance in community and secondary hospitals in the perfection of day surgery in tertiary hospitals.Taking orthopedic day surgery as an example,which accounts for the largest proportion in day surgery in General Hospital of Eastern Theater Command,this paper aims to explore a feasible model of hierarchical diagnosis and treatment of day surgery,which specifies the responsibilities and works of hospitals at all levels.
作者
顾旭东
吴亚萍
GU Xudong;WU Yaping(Day Surgery Centre,General Hospital of Eastern Theater Command,Nanjing,Jiangsu 210002,P.R.China;Institute of Economics and Finance,Nanjing Audit University,Nanjing,Jiangsu 211815,P.R.China)
出处
《华西医学》
CAS
2020年第2期198-201,共4页
West China Medical Journal
基金
国家自然科学基金(71703075)
关键词
日间手术
分级诊疗
骨科
Day surgery
Hierarchical diagnosis and treatment
Orthopaedics
