[转换到门诊治疗的可行性和结构先决条件]
Stefan Fritz1,2, Christoph Reissfelder3, Dieter Bussen4,3
1Deutsches End- und Dickdarmzentrum Mannheim, Bismarckplatz 1, 68165, Mannheim, Deutschland. stefan.fritz@enddarm-zentrum.de.
Chirurgie (Heidelberg, Germany)
|September 13, 2024
概括
许多直肠外科手术可以在门诊中进行,但患者的适应性和术后护理是关键. 改善门诊和住院护理的整合和公平的补偿对于降低成本和成功治疗至关重要.
科学领域:
- 医疗保健管理的管理
- 手术手术手术手术手术手术手术手术手术手术
- 产卵科 产卵科是指生殖器科的学科.
背景情况:
- 德国医疗保健成本上升,尽管存在诊断相关组 (DRG) 系统.
- 政府倡议将住院服务转移到门诊,以降低成本.
- 结肠外科手术很常见,通常适用于门诊手术.
研究的目的:
- 确定可接受门诊治疗的前列病学区域.
- 确定成功的门诊直肠病理学所需的结构要求.
- 讨论将前科护理转移到门诊部门的经济和组织方面的问题.
主要方法:
- 关于门诊护理的叙事文献综述 门诊护理在直肠病学中.
- 使用关键词进行文献搜索:门诊护理,选择性部门级薪酬,日托,口腔外科手术,AOP目录和混合DRG.
- 对门诊直肠外科手术的适合性标准和结构前提条件的分析.
主要成果:
- 门诊外科手术护理对于许多直肠病例是可行的,但患者的选择至关重要.
- 患者因素 (先前存在的疾病,合规性,社会支持) 和紧急护理的规定是必不可少的.
- 禁忌包括严重的全身性疾病;广泛的,复杂的囊或关节重建需要住院护理.
- 透明的部门界限和适当的报酬是成功的门诊护理的先决条件.
结论:
- 成功的门诊直肠治疗取决于对手术指示,患者可操作性和合规性的准确评估.
- 加强门诊和住院部门之间的联网对于无患者护理至关重要.
- 跨部门界限的同等报酬对于门诊口腔手术的经济可行性至关重要.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
128
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
128
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
58
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
58


