爱尔兰公共医院日间手术率的变化
Aoife Brick1, Brendan Walsh1, Theano Kakoulidou1
1Economic and Social Research Institute, Whitaker Square, Sir John Rogerson's Quay, Dublin 2, Ireland; Trinity College Dublin, Ireland.
Health policy (Amsterdam, Netherlands)
|January 21, 2025
概括
日间手术提供了同等或更好的患者结果和医院效率,但仍未得到充分利用. 手术团队,而不仅仅是医院,显著影响日间手术率,突出了针对性政策干预的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 日间手术 (行医手术) 已因其有效性和效率的好处而得到认可.
- 在医疗保健机构中,使用率不足和日间手术率的显著变化存在.
- 优化日间手术利用率对于改善医疗保健系统性能至关重要.
研究的目的:
- 调查爱尔兰公共医院日间手术率的变化.
- 为了确定与日间手术率差异相关的医院和手术团队特征.
- 为政策和实践提供信息,以增加日间手术的采用.
主要方法:
- 对大量可选手术的患者级管理数据的分析.
- 应用三级逻辑回归模型来评估变化源.
- 检查特定程序,包括腹腔镜胆囊切除术.
主要成果:
- 在过去的十年中,白天手术的发生率有所增加,但医院间的差异仍然很大.
- 对于2019年的腹腔镜胆囊切除术,各医院的比例从0%到90%以上.
- 手术团队占日间手术可能性变化的56.8%,医院贡献37.8%.
结论:
- 尽管取得了进展,但仍有显著的机会来提高爱尔兰日间手术的利用率.
- 政策干预应侧重于激励外科团队采用日间手术.
- 监测医院间的变化和提供专门的资源对于改善至关重要.
相关概念视频
Hospitals-I
790
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
790
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
47
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...
47
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Hospitals-II
730
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
730


