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目的调查分析日间手术患者费用构成和患者感知,为促进日间手术在国内的推广提供参考依据。方法抽取2012年1月-12月收治的354例日间手术患者为对象(日间手术组),并抽取同期非日间手术患者354例为对照(住院组)。对比两组患者平均住院时间、人均总费用及费用构成,并对日间手术组患者在出院结算时进行感知问卷调查。结果日间手术组在平均住院时间、总治疗费用等方面具有明显优势,与住院组相比差异有统计学意义(P<0.05)。但承担的自付费用比例高于住院手术组,且存在较高的风险感知。结论加强日间手术模式和手术安全知识宣传,适当扩大门诊医疗保险统筹的范围,可推进日间手术的进一步发展,有效节省医疗保险基金,有利于医疗保险资源的合理利用。
Objective To investigate the cost composition and patient perception of patients undergoing surgery during the day and provide a reference for promoting the promotion of day surgery in the country. Methods 354 cases of day surgery patients (day surgery group) admitted from January 2012 to December 2012 were enrolled, and 354 non-day surgery patients were selected as control group (in-hospital group). The mean length of stay, per capita total cost, and cost were compared between the two groups, and the patients in the day surgery group were asked to do the questionnaire when they were discharged from the hospital. Results The day surgery group had obvious advantages in terms of average length of hospital stay and total cost of treatment, which was significantly different from that of hospitalization group (P <0.05). However, the proportion of out-of-pocket expenses borne is higher than that of hospitalized patients, and there is a high risk perception. Conclusion To strengthen the promotion of daytime operation mode and surgical safety knowledge, appropriately expand the scope of outpatient medical insurance co-ordination, promote the further development of daytime operation, effectively save the medical insurance fund, and facilitate the rational utilization of medical insurance resources.