Investigation and analysis of the current situation of daytime treatment services under the centralized treatment mode in a large-scale military hospital_West China Medical Journal

Authors：

WANG Xiaoxue , WANG Ping , LI Yanmei , GAN Quan , WU Zhiyong ,  YANG Hua ,  NIU Yuguang

1. Department of Ambulatory Medicine, First Medical Center of PLA General Hospital, Beijing 100853, P. R. China;

Corresponding author：

YANG Hua, Email: 18600182799@163.com; NIU Yuguang, Email: nygent301@163.com

Keywords：

Daytime treatment; centralized treatment; operating efficiency

DOI：

10.7507/1002-0179.202311231

Video：

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Objective To analyze the current situation of the centralized treatment mode for daytime treatment (excluding daytime surgery) services in a large-scale military hospital, and provide practical support for the management and operation of the centralized treatment mode for daytime treatment. Methods Data on patients undergoing centralized daytime treatment in the Department of Ambulatory Medicine, First Medical Center of PLA General Hospital were retrospectively collected between February 7, 2021 and December 31, 2023. The patients’ condition, daytime treatment operation indicators, and quality control indicators were statistically analyzed. Results A total of 14903 patients underwent daytime treatment, including 8548 females and 6355 males. The patients’ age ranged from 18 to 74 years old. There were 9757 patients (65.47%) who had been hospitalized ≥ 2 times. The main payment method for patients was medical insurance (83.16%). Breast cancer accounted for the highest proportion (26.45%). The main treatment methods for patients were targeted therapy and immunotherapy (68.03%). The patients experienced a total of 1146 drug-related adverse reactions, mainly involving anti-tumor drugs. Among them, 15 cases were drug-related adverse reactions treated on the day of treatment, and the other 1131 cases were drug-related adverse reactions that occurred outside the hospital. After optimizing the entire process of daytime hospitalization (timed based treatment) in January 2023, compared to 2022, the average waiting time for patients after admission was reduced by 26.89%, the bed utilization rate increased by 9.09%, and patient satisfaction increased to 98.98%. In 2023, the default rate of daytime treatment was 1.15%, the cancellation rate of daytime treatment on the day of treatment was 4.39%, and the discharge follow-up rate reached 100%. Conclusions The daytime treatment under the centralized treatment mode in the the Department of Ambulatory Medicine, First Medical Center of PLA General Hospital focuses on breast cancer patients, and the main treatment methods are targeted therapy and immunotherapy. Time based treatment is beneficial for shortening the average waiting time of patients after admission, improving bed utilization and patient satisfaction.

Citation： WANG Xiaoxue, WANG Ping, LI Yanmei, GAN Quan, WU Zhiyong, YANG Hua, NIU Yuguang. Investigation and analysis of the current situation of daytime treatment services under the centralized treatment mode in a large-scale military hospital. West China Medical Journal, 2024, 39(2): 213-216. doi: 10.7507/1002-0179.202311231 Copy

1.	杨煦, 陈京, 刘巍, 等. 肿瘤专科医院日间病房诊疗模式的建立与管理. 中国医学前沿杂志(电子版), 2021, 13(5): 2-5.
2.	李晨雄, 王丹, 莫陶欣, 等. 国内日间化疗工作开展现况调查研究. 中国医院管理, 2022, 42(2): 47-49.
3.	国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发医疗机构日间医疗质量管理暂行规定的通知. 中华人民共和国国家卫生健康委员会公报, 2022(11): 4-6.
4.	张晋宁, 谭春蕾, 吴小姣, 等. 某院日间病房运行效果分析. 中国卫生质量管理, 2019, 26(6): 39-41.
5.	周健, 严越, 张丹. 日间化疗服务质量评价体系构建研究. 中国卫生质量管理, 2021, 28(5): 52-54.
6.	赵婷婷, 尚亮, 田英丽, 等. 部队某大型综合医院日间医疗管理运行实践. 华西医学, 2023, 38(2): 180-184.
7.	陈静雅, 吴娜洁, 夏晓丹, 等. “前移后延”延续性护理模式在乳腺良性肿物日间手术中的应用. 东南国防医药, 2021, 23(5): 534-536.
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9.	胡可纯, 张玉珍, 刘菊琴, 等. 日间病房乳腺癌患者输注赫赛汀的护理. 护理学杂志, 2017, 32(7): 86-87.
10.	王文娜, 李俏, 兰波, 等. 《中国乳腺癌规范诊疗质量控制年鉴》解读. 肿瘤综合治疗电子杂志, 2023, 9(3): 23-29.
11.	张梦娇, 石锐, 王增, 等. 肿瘤日间病房信息化管理系统的设计与实现. 中国卫生信息管理杂志, 2023, 20(3): 426-430.
12.	娄洁琼, 侯旭敏, 范小红, 等. 日间化疗病房全流程优化管理模式. 解放军医院管理杂志, 2019, 26(5): 469-472.
13.	王丹, 莫陶欣, 李晨雄, 等. 日间化疗质量与安全评价指标体系构建研究. 中国医院管理, 2023, 43(3): 51-54.
14.	张琳, 石焕玲, 赵斌, 等. 消化内科日间手术集中管理运行效果分析. 中国卫生标准管理, 2023, 14(13): 79-83.
15.	李莲, 李春丽, 田晓琼, 等. 肿瘤日间化疗分时段预约系统设计与应用. 中国数字医学, 2022, 17(12): 63-67.
16.	马戈, 朱华洁, 夏琦琦. 平台式日间化学治疗中心建设经验分享. 华西医学, 2023, 38(2): 295-299.
17.	蔡丹妮, 侯凯文, 赵莉, 等. 互联网平台随访在日间化疗患者延续性护理中的应用. 西南军医, 2019, 21(1): 82-84.
18.	蔺文燕, 彭彩丽, 王永庆, 等. 日间肿瘤化疗的管理模式创新及运行效果评价. 中国现代医生, 2022, 60(17): 76-79, 101.
19.	莫洋, 陈亚玲, 石峰华, 等. 开展品管圈活动降低日间手术爽约率的效果分析. 华西医学, 2017, 32(4): 488-492.
20.	Windschüttl S, Pukrop T, Herrmann A, et al. Development of a screening workflow to identify patient needs in an interdisciplinary oncological day clinic. Z Evid Fortbild Qual Gesundhwes, 2021, 163: 30-37.
21.	张晓丽, 范小红, 侯旭敏, 等. 全信息化管理模式在日间化疗中的应用. 中国卫生质量管理, 2018, 25(4): 32-34.

1. 杨煦, 陈京, 刘巍, 等. 肿瘤专科医院日间病房诊疗模式的建立与管理. 中国医学前沿杂志(电子版), 2021, 13(5): 2-5.
2. 李晨雄, 王丹, 莫陶欣, 等. 国内日间化疗工作开展现况调查研究. 中国医院管理, 2022, 42(2): 47-49.
3. 国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发医疗机构日间医疗质量管理暂行规定的通知. 中华人民共和国国家卫生健康委员会公报, 2022(11): 4-6.
4. 张晋宁, 谭春蕾, 吴小姣, 等. 某院日间病房运行效果分析. 中国卫生质量管理, 2019, 26(6): 39-41.
5. 周健, 严越, 张丹. 日间化疗服务质量评价体系构建研究. 中国卫生质量管理, 2021, 28(5): 52-54.
6. 赵婷婷, 尚亮, 田英丽, 等. 部队某大型综合医院日间医疗管理运行实践. 华西医学, 2023, 38(2): 180-184.
7. 陈静雅, 吴娜洁, 夏晓丹, 等. “前移后延”延续性护理模式在乳腺良性肿物日间手术中的应用. 东南国防医药, 2021, 23(5): 534-536.
8. 马飞. 认识中国肿瘤日间诊疗现状. 中国医学前沿杂志(电子版), 2021, 13(5): 前插 1, 1.
9. 胡可纯, 张玉珍, 刘菊琴, 等. 日间病房乳腺癌患者输注赫赛汀的护理. 护理学杂志, 2017, 32(7): 86-87.
10. 王文娜, 李俏, 兰波, 等. 《中国乳腺癌规范诊疗质量控制年鉴》解读. 肿瘤综合治疗电子杂志, 2023, 9(3): 23-29.
11. 张梦娇, 石锐, 王增, 等. 肿瘤日间病房信息化管理系统的设计与实现. 中国卫生信息管理杂志, 2023, 20(3): 426-430.
12. 娄洁琼, 侯旭敏, 范小红, 等. 日间化疗病房全流程优化管理模式. 解放军医院管理杂志, 2019, 26(5): 469-472.
13. 王丹, 莫陶欣, 李晨雄, 等. 日间化疗质量与安全评价指标体系构建研究. 中国医院管理, 2023, 43(3): 51-54.
14. 张琳, 石焕玲, 赵斌, 等. 消化内科日间手术集中管理运行效果分析. 中国卫生标准管理, 2023, 14(13): 79-83.
15. 李莲, 李春丽, 田晓琼, 等. 肿瘤日间化疗分时段预约系统设计与应用. 中国数字医学, 2022, 17(12): 63-67.
16. 马戈, 朱华洁, 夏琦琦. 平台式日间化学治疗中心建设经验分享. 华西医学, 2023, 38(2): 295-299.
17. 蔡丹妮, 侯凯文, 赵莉, 等. 互联网平台随访在日间化疗患者延续性护理中的应用. 西南军医, 2019, 21(1): 82-84.
18. 蔺文燕, 彭彩丽, 王永庆, 等. 日间肿瘤化疗的管理模式创新及运行效果评价. 中国现代医生, 2022, 60(17): 76-79, 101.
19. 莫洋, 陈亚玲, 石峰华, 等. 开展品管圈活动降低日间手术爽约率的效果分析. 华西医学, 2017, 32(4): 488-492.
20. Windschüttl S, Pukrop T, Herrmann A, et al. Development of a screening workflow to identify patient needs in an interdisciplinary oncological day clinic. Z Evid Fortbild Qual Gesundhwes, 2021, 163: 30-37.
21. 张晓丽, 范小红, 侯旭敏, 等. 全信息化管理模式在日间化疗中的应用. 中国卫生质量管理, 2018, 25(4): 32-34.

West China Medical Journal

Investigation and analysis of the current situation of daytime treatment services under the centralized treatment mode in a large-scale military hospital

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