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A Hierarchical Management Model Based on the Multidisciplinary Team Concept for Pre-Hospitalized Patients Undergoing
Yan-Hua Zhao1, Can Dai2, Ping Ouyang2
1Pre-Hospitalization Management Center, Shenzhen Eye Hospital, Shenzhen Eye Center, Southern Medical University, Shenzhen, Guangdong, 518040, People's Republic of China.
A new hierarchical management model using a multidisciplinary team (MDT) significantly reduced cancellations for ophthalmic day surgery. This approach also improved patient satisfaction, ensuring safer and more efficient surgical procedures.
Area of Science:
- Ophthalmology
- Healthcare Management
- Surgical Patient Care
Background:
- Ophthalmic day surgery requires efficient pre-hospitalization management.
- Traditional pre-admission processes can lead to cancellations and lower patient satisfaction.
- A multidisciplinary team (MDT) approach may optimize patient care pathways.
Purpose of the Study:
- To evaluate the effectiveness of a hierarchical management model based on the multidisciplinary team (MDT) concept.
- To assess the impact of this model on pre-hospitalized patients undergoing ophthalmic day surgery.
- To compare cancellation rates and patient satisfaction with a conventional model.
Main Methods:
- A retrospective cohort study comparing two groups of ophthalmic day surgery patients.
- Control group (n=6178): conventional pre-hospitalization process.
- Observation group (n=8788): new MDT-based hierarchical management model (information management, structured evaluation, hierarchical nursing).
Main Results:
- The MDT-based model significantly reduced day-of-surgery and hospitalization cancellations (p < 0.05).
- Patient satisfaction was significantly higher in the observation group compared to the control group (p < 0.05).
Conclusions:
- The MDT-based hierarchical management model is effective for ophthalmic day surgery.
- It establishes a closed-loop system for perioperative safety.
- The model enhances efficiency, reduces cancellations, and improves patient satisfaction.
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