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Day surgery management model in china: practical experience and initial evaluation.

Huiyong Jiang1, Junyi Han1, Aiguo Lu1

  • 1Department of General Surgery, Shanghai East Hospital Affiliated to Tongji University 150 Jimo Road, Shanghai 200120, China.

International Journal of Clinical and Experimental Medicine
|January 1, 2015
PubMed
Summary
This summary is machine-generated.

Day surgery management models (DSMM) significantly reduce hospital admission, costs, and infection rates compared to traditional inpatient surgery. This model optimizes healthcare resource utilization in China.

Keywords:
Day surgery management modelevaluationhealth resourcehospital costincision infection

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Area of Science:

  • Healthcare Management
  • Surgical Outcomes
  • Health Economics

Background:

  • Day surgery is increasingly adopted in major Chinese teaching hospitals.
  • Evaluation of the current day surgery management model (DSMM) is needed.
  • Comparison of day surgery with inpatient surgery is essential for clinical and utility assessment.

Purpose of the Study:

  • To evaluate the current day surgery management model (DSMM) in China.
  • To compare the clinical outcomes of day surgery versus inpatient surgery.
  • To assess the health service utility of day surgery compared to inpatient surgery.

Main Methods:

  • A retrospective review of 14,482 day surgery cases and 2,591 inpatient surgery cases.
  • Data collected from September 2006 to September 2012 at Shanghai East Hospital.
  • Endpoints included hospitalization days, incision infection rate, and hospital cost.

Main Results:

  • Only 0.4% of day surgery cases required hospitalization.
  • Average hospitalization time for day surgery was 2-10 hours with no incision infections.
  • Day surgery management model (DSMM) resulted in less than 50% of the hospital cost compared to inpatient surgery.
  • Common postoperative complications included nausea, vomiting, dizziness, and mild to moderate pain.

Conclusions:

  • The day surgery management model (DSMM) effectively reduces hospital admissions and associated costs.
  • DSMM demonstrates significant benefits in reducing incision infection rates.
  • This model optimizes healthcare resource utilization in the Chinese healthcare system.