非现金支付下门诊化疗安全模式的应用与体会

目的 通过启用基于信息化手段支持并考虑患者安全及满意度的门诊化疗模式来有效释放病房及日间医疗部的医疗资源,解决患者留院时间长、入院手续繁琐等问题,在保证安全及患者满意度的前提下,将住院病房及日间医疗病房的化疗患者逐渐转至门诊,以进一步调节有限的住院床位资源,从而满足更多手术及疑难危重患者的住院需求,最终形成"大手术在病房、小手术至日间、微手术到门诊"的格局,进而探讨建立安全的门诊化疗模式对提高医院服务的效率,优化医疗资源供给,强化三级综合性医院服务定位的重要意义。 方法 本文通过将住院病房及日间医疗病房的化疗患者逐渐转至门诊的举措,从治疗总费用、留院时间、医疗资源成本及患者满意度等四个维度对门诊化疗的效果及意义进行分析。 结果 门诊化疗模式的开展,可以缩短患者留院时间,减少患者医疗费用,提高患者满意度,有助于提高医院服务效率、优化医疗资源供给,有利于强化三级综合性医院的医疗服务定位。 结论 门诊化疗既能为患者提供安全舒适、方便快捷、经济的治疗,又能节约有限的医疗资源,降低治疗成本,是一种值得被广泛推广的医疗模式,对提高医院服务的效率,优化医疗资源供给,强化三级综合性医院服务定位具有一定的意义。 

The practice and experience of safe mode of outpatient chemotherapy under non-cash payment

Objective Via an outpatient chemotherapy model supported by hospital information system, taking into account patient safety and satisfaction effectively release the resources of the ward and the day medical department, to solve the problem of long patient hospital stay, cumbersome hospital admission procedures, etc., on the premise of safety and patient satisfaction, chemotherapy patients in inpatient wards and day medical wards are gradually transferred to outpatient clinics to further regulate the limited hospital bed resources so as to meet the hospitalization needs of more surgical and critically ill patients, resulting in "major surgery in the inpatient, minor operations in the day ward, and micro-surgery in the outpatient", and then explore the importance of establishing safe outpatient chemotherapy to improve the efficiency of hospital services, optimize the supply of medical resources, and strengthen the service orientation of tertiary comprehensive hospitals. Methods This article analyzes the effect and significance of outpatient chemotherapy in four dimensions:total cost of treatment, time of hospitalization, cost of medical resources, and patient satisfaction through the gradual transfer of chemotherapy patients from inpatient wards to daytime medical wards to outpatient clinics. Results The development of outpatient chemotherapy can shorten the patient's hospital stay, reduce the patient's medical expenses, and improve the patient's satisfaction. It can help improve the hospital's service efficiency, optimize the supply of medical resources, and help strengthen the three-level comprehensive hospital's medical service positioning. Conclusion Outpatient chemotherapy not only provides safe, comfortable, convenient and economical treatment for patients, but also saves limited medical resources and reduces treatment costs. It is a medical model worthy of being widely promoted, which improves the efficiency of hospital services and optimizes medical resources. The supply and strengthening of the three-level comprehensive hospital service positioning have certain significance.