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find Author "马洪升" 59 results
  • 日间医疗服务的展望

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  • 日间手术的管理

    Release date:2017-04-19 10:17 Export PDF Favorites Scan
  • Day surgery: a novation and challenging surgical management model

    Day surgery mode is a challenge for surgeons, anesthesiologists, nurses, and managers. Standardized management should be implemented in each management model, no matter centralized management or decentralized management model, by utilizing the theory of enhanced recovery after surgery and information management to establish a system to ensure patient’s safety and medical quality. Only in this way the development of day surgery will be healthy and sustainable.

    Release date:2019-02-21 03:19 Export PDF Favorites Scan
  • 贲门失弛缓症的治疗现状

    摘要:贲门失弛缓症是下食管括约肌松弛异常及食管体部缺乏推进性蠕动为特征的食管运动功能障碍性疾病。目前病因和发病机制不明,主要临床表现为吞咽困难,胸痛和呕吐。治疗主要以减低下食管括约肌紧张性为目的。治疗方法包括药物治疗、局部注射肉毒杆菌毒素、气囊扩张、外科手术治疗及支架治疗。支架治疗作为近年来开展起来的一项新的治疗方法,有其独特的优势及较好的疗效,是一种有着较好前景的治疗方法。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • Intestinal Barrier Changes and Its Pathogenesis in Stress Conditions

    【Abstract】ObjectiveTo review the research advance of intestinal barrier changes and its pathogenesis in stress conditions.MethodsThe literatures in recent years on the changes of the intestinal barrier,and its pathogenesis in stress conditions were reviewed.Results In some severe stress conditions, such as trauma, severe inflammation and acute severe pancreatitis, etc, a series of pathophysiologic disorders of intestinal barrier, even systemic inflammatory response syndrome and multiple organ dysfunction syndrome or multiple organ failure were induced. The pathogenesis was a result of a series of neurologic, immunologic and endocrine factors making one another. ConclusionRecognizing the changes and pathogenesis have an important clinical significance for treating and preventing the intestinal barrier dysfunction induced by stress.

    Release date:2016-09-08 11:54 Export PDF Favorites Scan
  • 日间手术护理发展现状

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  • Preliminary study on evaluation and monitoring indicators for day surgery

    Under the background of promoting day surgery nationwide and ensure the medical quality, fine management is crucial and in trend. As one of the earliest central health organizations that started day surgery service in China, West China Hospital of Sichuan University has conducted approximate 140 000 day surgery cases in the past nearly 10 years. Based on the experience of practice, West China Hospital of Sichuan University has summarized 26 clinical indicators from 5 aspects to evaluate and monitor the economic efficacy and medical quality and safety of day surgery, including the input and output, the efficiency, the patient experience, the medical quality and safety, and the difficulty evaluation of surgery. The aim is to explore and establish an appraisal and monitoring system for day surgery, promote the stable development of day surgery, improve the work efficiency, and take the government plan of implementation day surgery to improve medical services into action.

    Release date:2019-02-21 03:19 Export PDF Favorites Scan
  • Same-day surgery: the evolution of day surgery in China

    After nearly 30 years of localized development of day surgery in China, in order to enable more patients to enjoy high-quality and affordable day surgery medical services, some medical institutions have begun to try same-day surgery, which means the patient can be operated and discharged within the same workday. With the help of the national three-level diagnosis and treatment service model, it provides continuous medical services and guarantees for day surgery patients through the integration of “hospital-community”. This article first introduces the development history of day surgery, summarizes the definitions and requirements of day surgery in different countries or academic associations, and finally focuses on same-day surgery in China, aims to provide some ideas for the future development of day surgery in China.

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  • Commentary on high quality development of day surgery in China

    Under the background of promoting the high-quality development of public hospitals, day surgery in China has also entered a stage of refined and high-quality continuous development. The high-quality connotation of day surgery includes high quality of medical treatment, high quality of nursing, high quality of management and high quality of service, which is also a difficulty and challenge faced by current medical management. Among them, medical treatment is the core, nursing and service are the key, and management is the essence of day surgery.

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  • 收益管理理论在日间手术运营模式中的运用

    收益管理(RM)是一种谋求收益最大化的新经营管理技术,主要通过建立实时预测模型,分析细分市场的需求行为以确定最佳销售、服务价格和存量控制策略,最终实现企业收益最大化。文章从RM理论角度出发,结合四川大学华西医院开展日间手术诊疗模式的实践,对日间手术运营模式进行分析,从细分市场、优化配置、平衡供需三方面阐述该模式在医院运营管理中运用的优势,并对日间手术运营模式的改进与发展方向进行展望。

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
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