“预住院”服务的改革深意

Core Insights - The "pre-admission" service has been introduced in various regions to alleviate the issue of hospital bed shortages and reduce patient expenses for elective surgeries, allowing patients to complete pre-operative checks and assessments in outpatient settings before being admitted for surgery when a bed becomes available [1][2] Group 1: Implementation and Benefits - The "pre-admission" model addresses the challenges of bed shortages by moving pre-operative checks and health assessments to the outpatient stage, resulting in reduced waiting times and costs for patients [2] - In Changsha, Hunan, hospitals implementing "pre-admission" services have seen an average reduction in hospital stay by 1 to 3 days and a decrease in costs exceeding 1,000 yuan [2] - Since the pilot program began in 2020 at Central South University Xiangya Third Hospital, the average waiting time for surgery has decreased from 7 days to 3 days, enhancing operational efficiency for medical institutions [2] Group 2: Challenges and Considerations - The "pre-admission" model requires careful coordination between departments and adjustments in billing and insurance reimbursement policies to ensure that the benefits reach patients effectively [3] - It is essential to define the appropriate patient population for "pre-admission" services to maintain service efficiency and reflect refined medical management [3] - Increased pressure on outpatient services necessitates improved scheduling, guidance services, and intelligent information systems to support the "pre-admission" process [3] Group 3: Broader Implications - The value of practices like "pre-admission" extends beyond resource optimization and efficiency improvements; it signifies a shift in healthcare philosophy from a disease-centered approach to a patient-centered, integrated health management model [4] - Emphasizing "people's health" requires not only treating existing conditions but also preventing future ones, focusing on the entire healthcare experience [4] - Continuous innovation in healthcare services is crucial for enhancing patient experience and improving healthcare effectiveness, contributing to the overall health and well-being of the population [4]