“预住院”服务的改革深意（新知）

Core Viewpoint - The introduction of "pre-admission" services aims to alleviate the issue of bed shortages in medical institutions and reduce patient expenses by allowing patients to complete pre-operative checks and evaluations in outpatient settings before being admitted for surgery [1][2]. Group 1: Implementation and Benefits - The "pre-admission" model allows for pre-operative checks and health assessments to be conducted in outpatient settings, leading to reduced waiting times and costs for patients [1]. - In Changsha, Hunan, hospitals implementing "pre-admission" services have seen an average reduction of 1 to 3 days in hospital stay and a decrease in costs exceeding 1,000 yuan [1]. - 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 [1]. Group 2: Operational Efficiency - The "pre-admission" model enhances operational efficiency for medical institutions by allowing for better planning of bed resources and surgical schedules, thus serving more patients with limited resources [2]. - Traditional models restrict efficient bed turnover as patients only begin queuing for checks after admission; the new model addresses this issue by front-loading the necessary evaluations [2]. Group 3: Challenges and Considerations - The implementation of "pre-admission" requires adjustments in billing items and insurance reimbursement policies, necessitating enhanced collaboration among departments and active participation from insurance agencies [3]. - The model primarily targets elective surgery patients, raising the need for careful definition of the applicable patient population to ensure service efficiency and reflect refined medical management [3]. - Increased pressure on outpatient services due to pre-admission checks necessitates more precise appointment scheduling, guidance services, and intelligent information system support [3]. Group 4: Broader Implications - The value of practices like "pre-admission" extends beyond resource optimization and efficiency; it signifies a shift in healthcare philosophy from a disease-centric 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 medical process and patient experience [4]. - Continuous innovation in healthcare services, aimed at improving patient experience and enhancing medical efficiency, is essential for advancing public health and contributing to the construction of a healthy China [4].