Assessing the efficiency of using medical and economic standards when treating surgical patients in day hospitals

IF 0.2 Q4 EMERGENCY MEDICINE Trauma monthly Pub Date : 2021-08-30 DOI:10.30491/TM.2021.301333.1358
Myrzatay A. Buleshov, A. Buleshova, A. Ilimova, B. Ashirov, G. Kausova, D. M. Buleshov
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Abstract

Studying the issues of improving the outpatient surgery in a megalopolis based on standardization is essential both for practical healthcare and medical science. In order to increase the quality and accessibility of surgical treatment, as well as to reduce the cost of treatment and post-operative rehabilitation, medical and economic standards were introduced at Shymkent Municipal Center of Outpatient Surgery in 2016, as a part of the National Healthcare Program. Also, day hospitals were organized for treatment and post-operative rehabilitation of surgical ambulatory patients. The training to increase the doctors’ qualification and their knowledge of medical and economic standards was carried out at South Kazakhstan Medical Academy. The efficiency of using medical and economic standards at day hospitals was assessed with indices based on medical, social and economic criteria. The data was taken from statistical records of attendance and clinical protocols of treatment. Respondents’ opinions were studied with a poll. The research showed that after introduction of the medical and economic standards the doctors’ payment increased depending on the medical efficiency and quality of treatment and post-operative rehabilitation of surgical ambulatory patients; the levels of incidence with temporary and permanent disability decreased, and the time of patients’ staying in hospital reduced.
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评估日间医院外科病人使用医疗和经济标准的效率
研究以规范化为基础提高特大城市门诊手术水平的问题,对实际卫生保健和医学科学都具有重要意义。为了提高手术治疗的质量和可及性,以及降低治疗和术后康复的成本,2016年,作为国家医疗保健方案的一部分,奇姆肯特市门诊手术中心引入了医疗和经济标准。此外,还组织了日间医院,对外科门诊病人进行治疗和术后康复。在南哈萨克斯坦医学院进行了培训,以提高医生的资格及其对医疗和经济标准的了解。采用基于医学、社会和经济标准的指标评价日间医院医疗经济标准的使用效率。数据来自出席统计记录和临床治疗方案。受访者的意见是通过民意调查来研究的。研究表明,引入医疗经济标准后,医生报酬的增加取决于门诊手术患者的医疗效率和治疗质量以及术后康复;暂时性和永久性残疾发生率下降,患者住院时间缩短。
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Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
0.60
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