“预住院”服务，让患者少跑腿、少等待、少花费

Core Viewpoint - The "pre-admission" service reform 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 [2][3]. Group 1: Implementation and Benefits - The "pre-admission" model shifts pre-operative checks and health assessments to the outpatient stage, resulting in benefits for patients such as reduced waiting times and lower costs [2][3]. - In Changsha, Hunan, hospitals implementing "pre-admission" services have seen an average reduction in hospital stay by 1 to 3 days, with costs decreasing by over 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, with surgery dates moved up by 2 to 3 days [2]. Group 2: Operational Efficiency - For medical institutions, "pre-admission" represents a beneficial exploration to enhance operational efficiency by allowing better planning of bed resources and surgical schedules [3]. - Traditional models restrict efficient bed turnover as patients only begin queuing for checks after admission; the new model allows for more precise resource allocation [3]. Group 3: Challenges and Considerations - The "pre-admission" model faces challenges such as the need for coordination between departments and adjustments in billing and insurance reimbursement policies [4]. - It is essential to define the appropriate patient population for "pre-admission" services to ensure efficiency and reflect refined medical management [4]. - Increased pressure on outpatient services necessitates improved scheduling, guidance services, and intelligent information system support [4]. Group 4: Broader Implications - The value of practices like "pre-admission" lies not only in optimizing resource allocation and improving efficiency but also in shifting the healthcare paradigm from a disease-centered approach to a patient-centered, integrated health management model [5]. - Emphasizing "people's health" requires attention to both treatment outcomes and the overall patient experience throughout the medical process [5]. - Continuous innovation in healthcare services is crucial for enhancing patient experience and improving medical effectiveness, contributing to the overall health of the population and the advancement of health initiatives in China [5].