手术病例住院打包收费政策可行性研究

目的 分析手术病例住院打包收费政策的可行性和患者满意度,为该政策在公立医院的实施提供临床依据。方法 回顾性分析2016年2月－6月在香港大学深圳医院接受打包收费的手术患者。入院时由临床专科医师填写打包收费筛查表,患者出院时填写满意度调查问卷。采用SPSS软件分析患者打包收费的入组情况和满意度。结果 共有336例患者参与打包收费筛查,最常见的手术病种是腹腔镜胆囊切除（161例,47.9％）和单／双侧甲状腺切除（78例,23.2%）。共有240例患者纳入打包收费,入组率71.4%。有231位参与打包收费的患者术后接受调查。分别有89%和88%的患者认为打包收费可以有效控制“过度用药”和“过度检查”。91％的患者赞同或非常赞同手术打包收费的政策推广。结论 打包收费作为一次创新性的尝试,其在公立医院中是可行的,在一定程度上减少了医疗资源的浪费,患者满意度高,值得进一步推广。

Feasible Research of Inpatient Package Charge on Surgical Diseases

Objective To evaluate the feasibility and patient satisfaction of package charge (PC), and provide clinical evidence to popularize PC in public hospitals. Methods A retrospective review of patients who underwent PC from February to June, 2016 in The University of Hong Kong-Shenzhen Hospital was performed. Evaluation of PC eligibility was performed by surgeons before admission, patient satisfaction survey questionnaire was assessed after discharge. SPSS was used for data analysis. Results A total of 336 patients were evaluated for PC eligibility. The most common operations were laparoscopic cholecystectomy (161, 47.9%) and total/unilateral thyroidectomy (78, 23.2%), and 240 out of 336 patients (71.4%) were included into PC. 89% and 88% patients thought that drug abuse and unnecessary examination can be decreased by PC. 91% patients agreed with the popularization of PC. Conclusion As an innovative attempt, package charge is feasible in the public hospital. It reduces the waste of medical source, with good patient satisfaction. PC is worth to be popularized in China.