In my impression, the operation process is like this: after going to the hospital to see the doctor, the doctor told me to stay in the hospital, and then started a bunch of examinations. After a series of examinations and preoperative adjustments, a date for surgery is scheduled.
On the day of the operation, a lot of relatives and friends came, and he was pushed into the operating room under everyone's gaze. After that, the hospitalization time of more than a week, 24-hour escort, long, painful and expensive...
A new surgical model was officially launched in the First Affiliated Hospital of Baoyi Hospital. 2 PatientFrom admission to surgery From discharge to hospital everything was completed within 24 hours What is "day surgery"? Which diseases are suitable for âday surgeryâ? What about the reimbursement ratio of ? Letâs find out together! âââ Incredible! "Short, smooth and fast" surgery At the day surgery center of the First Affiliated Hospital of Baoyi Hospital, the patient Ms. Zuo (pseudonym) experienced firsthand the convenience brought by day surgery. A few days ago, Ms. Zuo came to the First Affiliated Hospital of Baoyi Hospital for treatment due to intermittent right upper abdominal discomfort, nausea, and obvious greasy feeling. Color Doppler ultrasound examination showed: gallbladder stones. Due to her busy work schedule, Ms. Zuo was eager to seek medical treatment. During her visit, she repeatedly asked the doctor whether she could perform surgery as soon as possible and expressed her desire to return to work as soon as possible. After diagnosis, Li Ruibin, Executive Director of the Ambulatory Surgery Center, Executive Director of the Hernia Center and Deputy Director of the Gastrointestinal Surgery Department of the First Affiliated Hospital of Baoyi Hospital, confirmed that Ms. Zuo met the requirements and conditions for "ambulatory surgery". Taking into account the patient's eagerness, Director Li Ruibin decided to pass Laparoscopic cholecystectomy was performed as a "day surgery". On Monday morning, Ms. Zuo went through the admission procedures. After completing the necessary preoperative examinations such as blood, urine routine, and electrocardiogram, Director Gao Manhai of the Anesthesiology Department agreed that at 12 noon that day, this "daytime surgery" The operation was performed by Director Li Ruibin. It lasted 30 minutes and was successfully completed. ⲠLi Ruibin performed minimally invasive surgery on the patient On Tuesday morning, after Director Li Ruibinâs ward rounds, he believed that the patient recovered smoothly after surgery and had no postoperative complications, and agreed to be discharged. â˛Li Ruibin conducts ward rounds Such a "short, fast" day surgery completely overturned Ms. Zuo's traditional concept of surgery. On the day she was discharged from the hospital, Ms. Zuo said excitedly, âI didnât know there was day surgery before. This time I went to the First Affiliated Hospital of Baoyi Hospital to see a doctor, and I heard that day surgery can be done for situations like mine. It only took one day from admission to discharge. My family doesnât have to worry about time, and I save a lot of money, which is incredible!â Coincidentally, Ms. Xin (pseudonym) who lives in the High-tech Zone is also one of the beneficiaries of day surgery. "Hello, is this Ms. Xin? I am a staff member of the patient follow-up team of the Day Surgery Center of the First Affiliated Hospital of Baoyi Hospital. It has been a week since you had your cholecystectomy . Are you feeling fine now?" "I It's very good now. I started working in the unit the day after I was discharged from the hospital. I'm so satisfied with the results of this operation!" Speaking of the laparoscopic cholecystectomy day surgery performed at the First Affiliated Hospital of Baoyi Hospital, 34-year-old Xin said The lady praised her repeatedly. "I thought I was going to have major surgery and would have to be hospitalized for a long time. I didn't expect to be discharged from the hospital so quickly. Thank you so much!" Do you dare to think about paying several hundred yuan for a cholecystectomy out of pocket ? â˛Day surgery process It is understood that, Day surgery is a diagnostic and treatment service method in which patients with a clear clinical diagnosis can complete admission, surgery, recovery and discharge within 24 to 48 hours. It has the advantages of short time, high efficiency, less trauma, quick recovery, and low patient fees. . â˛Li Ruibin conducts ward rounds At the same time, due to changes in the examination, nursing and treatment modes, the total expenditure is significantly reduced compared with traditional surgery when the same operation is completed during the day, and the costs of examination, treatment and surgery can all be included in Basic medical insurance fund payment scope, enjoy basic medical insurance hospitalization treatment. Medical insurance reimbursement and shortened hospitalization time can effectively reduce the overall hospitalization cost and greatly reduce the patient's financial burden. Taking Ms. Zuo and Ms. Xin as examples, they only had to pay 818 yuan and 936 yuan out-of-pocket after medical insurance reimbursement after laparoscopic cholecystectomy was performed in the day surgery center. 24 hours after discharge, is it safe? In Li Ruibin's view, the reason why "day surgery" can allow patients to recover quickly and meet discharge standards is not only due to the reconstruction of management models and treatment processes, but also "minimally invasive surgery" and the painless concept of the anesthesiology department. "24-hour discharge" laid the technical foundation. "Traditional open surgery causes damage to muscles and organs, and patients need to recover for several days before being discharged from the hospital. With the application of minimally invasive surgeries such as laparoscopy and hysteroscopy , the wound is only the size of a keyhole. , the postoperative recovery speed is greatly improved, ensuring the smooth operation of day surgery," Li Ruibin said. "What should I do if I don't recover well after being discharged from the hospital?" Mr. Liang (pseudonym), 50, recently underwent rectal polyp removal at a day surgery center. Regarding his question, Director Li Ruibin said, "Safety is the lifeline of day surgery! Just because the patient is discharged from the day ward, it does not mean that the treatment is over. Whether it is before and during treatment, or including recovery after treatment, we We have a complete guarantee system - the attending physician responsibility system. To put it simply, our attending physicians will fully protect the patient's diagnosis, treatment and recovery process! " In addition, most day surgeries are minimally invasive! Surgery and postoperative observation are completed at home, where you can rest more fully and have less chance of infection. In addition, a dedicated person will conduct a follow-up visit within one week after day surgery to keep abreast of the patient's recovery status and relieve the patient's worries. Day surgery, who is suitable for it? It is understood that laparoscopic cholecystectomy, colorectal polyp removal, great saphenous varicose vein stripping, high spermatic vein ligation , thrombosed hemorrhoidal stripping, cataract removal with intraocular lens implantation , 37 diseases including nasal polypectomy, preauricular fistula resection, vocal cord lesion resection under laryngoscope, epiglottis lesion resection under laryngoscope, mastectomy, skin lesion resection, and circumcision "Day surgery" can be performed at the First Affiliated Hospital of Baoyi Hospital. In the two weeks since it officially opened on June 23, the Ambulatory Surgery Center of the First Affiliated Hospital of Baoyi Hospital has admitted 56 patients and successfully completed 33 operations, including 15 laparoscopic cholecystectomies and laparoscopic appendectomies. 11 cases, 412 cases of unilateral tension-free inguinal hernia repair, incisional hernia repair html in 41 cases, 2 cases of mass resection, and 1 case of cutaneous hemangioma resection. So far, 34 patients have been discharged successfully, and 22 patients are currently in the hospital or newly admitted. According to post-hospital follow-up reports, the patients recovered well after discharge, and their out-of-pocket expenses after reimbursement were less than 1,000 yuan. Patient satisfaction was over 99%. Introduction to the Ambulatory Surgery Center The Ambulatory Surgery Center of the First Affiliated Hospital of Baoyi Hospital is a comprehensive key pilot department integrating medical treatment, teaching and scientific research, with 12 beds. , with complete facilities and strong medical technology, it has a professional and high-quality medical and nursing team, with 2 chief physicians, 2 deputy chief physicians, 1 attending physician, 2 residents, and 8 nurses. They have been deeply involved in the surgical field for many years. Well-known experts Professor Wan Zhiheng and Professor Chen Tao lead the development of the specialty, and Associate Professor Li Ruibin serves as the executive director. is nothing more than a faint glow, making a torch into a yang. All medical staff of the day surgery center adhere to the hospital's tenet of "Honesty of Ethics, Precision Medicine, Truth-seeking, and Innovation" and the department cultural concept of "Exquisite Medicine, Ethics, Innovation and Inheritance" to protect the health and happiness of the patients! Consultation hotline: 0472-2178342 Expert | Wan Zhiheng Professor, Master Tutor Chief Physician Surgery Expert of the First Affiliated Hospital of Baoyi Hospital [Professional Specialties] Completed more than 30,000 cases of various minimally invasive surgeries and filled many Baotou City Blank, making the First Affiliated Hospital of Baoyi Hospital lead the autonomous region in terms of types and number of laparoscopic surgeries ăVisit timeă Monday morning Expert | Chen Tao Chief physician Director of the Gastrointestinal Surgery Department of the First Affiliated Hospital of Baoyi Hospital Daytime Director of the Surgery Center Member of the first committee of the Chinese Medical Doctor Association's Minimally Invasive Medicine Professional Committee Colorectal Professional Committee [Professional Specialties] has been engaged in general surgery for more than 30 years, and has experience in the clinical diagnosis and surgical treatment of difficult and complicated diseases in general surgery. He has rich clinical experience and is good at gastrointestinal surgery and pancreatic surgery, especially the surgical treatment of gastrointestinal tumors. Experts interviewed|Li Ruibin Associate professor, Master studentTutor Deputy Director of the Gastrointestinal Surgery Ward of the First Affiliated Hospital of Bao Medical University Executive Director of the Ambulatory Surgery Center Executive Director of Hernia Center ăProfessional Specialtiesă is engaged in surgical clinical and After 14 years of scientific research and teaching, he has accumulated rich clinical experience in the diagnosis and treatment of various systemic diseases in general surgery, especially in the field of minimally invasive surgical treatment of critical and difficult diseases, in-depth study and research and achieved cutting-edge results in the discipline. [Clinic visit time] Thursday morning Source: Liu Xiaobo; Editor: Zhou Shuang First instance: Li Ruibin; Second instance: Zhang Zhenjun; Third instance: Dang Liansheng What Ms. Zuo and Ms. Xin accepted is the new medical treatment model-"day surgery".
What is day surgery? To put it simply, the patient follows the diagnosis and treatment plan, completes admission procedures, doctor-patient communication , signs informed consent for surgery, preoperative anesthesia, performs surgery, and handles discharge, etc. within 24 hours and no longer than 48 hours. link. For individual patients who need to postpone their discharge due to their condition, they will be transferred to general hospitalization.
In June 2021, the General Office of the State Council issued the "Opinions on Promoting the High-Quality Development of Public Hospitals", which clearly requires promoting innovation in medical service models, vigorously promoting day surgeries, and increasing the proportion of day surgeries in elective surgeries.
"According to the traditional hospitalization process, Ms. Zuo and Ms. Xin usually need to be hospitalized for a week with this kind of disease. Now they are given day surgery treatment, which shortens the hospitalization time by 6 days." Director Li Ruibin introduced, "To summarize, let's take care of the hospital. The hospital performs day surgery, including appointment, examination, evaluation, admission, surgery, discharge and follow-up. It is a one-stop service. There is no need to run back and forth upstairs and downstairs in the hospital. "
Director Li Ruibin said, "Day surgery greatly alleviates patients' problems such as difficulty in seeing a doctor and long waiting times. It can also shorten the patient's hospitalization time, save a lot of medical resources and diagnosis and treatment time, and simplify the medical treatment process while ensuring the treatment effect."
In the traditional concept, if you donât have to stay in the hospital for a few days after surgery, you wonât feel at ease. Is it really reliable to be discharged within 24 hours?
Of course, not all surgeries can be performed as "day surgeries", and "day surgeries" have strict "access" to disease types."Clinical pathways and diagnosis and treatment specifications are clear, medical quality is controllable, and medical safety can be guaranteed." Under this premise, the types and procedures of day surgery are determined.
Director Li Ruibin said, "Day surgery is an important measure for the hospital to improve medical services and improve medical quality. It can truly solve the patients' practical problems of 'difficult to see a doctor, expensive to see a doctor, difficult to be hospitalized, and late for surgery', further improve the patient's medical experience, and alleviate With the shortage of medical resources, we can truly achieve a 'win-win' between doctors and patients."
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