"预住院"服务的改革深意 这看似只是流程上的微调，实则触及了医疗资源精细化管理的内核。对医疗机构来说，"预住院"是提升运行效率的有益探索。传统模式下，患者入院后才 开始排队检查，制约了床位高效周转。将检查前置后，医院可以更精准地规划床位资源与手术排期，用有限的医疗资源服务好更多患者。 当然，任何创新探索都需直面现实的挑战。 比如，"预住院"将部分服务从住院环节剥离，涉及收费项目、医保报销政策的衔接与调整，尤需强化部门之间的协同和医保部门的深度参与。配套推出更 便捷高效的支付与结算机制，才能确保政策红利顺畅惠及患者。 再如，"预住院"主要面向部分择期手术患者，而非所有住院人群。如何科学、合理地界定适用人群，既关乎服务效率，也体现医疗管理的精细化水平。此 外，检查前移意味着门诊的压力增大，需要更精细的预约排程、导诊服务，更智能的信息系统支持。在探索过程中，应鼓励医院因地制宜，结合自身专科 特点与资源条件，设计合理的实施方案，避免"一刀切"产生负面影响。 近年来，从检查检验结果互认，到日间手术推广，再到多学科诊疗模式普及，一系列创新举措推动医疗服务体系向更高效、更人性化方向迈进。2025年， 全国有360个地市的检 ...

【现象】为缓解医疗机构"一床难求"，减少患者开支，近年来多地针对诊断明确、病情稳定的择期手术 患者推出"预住院"服务。患者可在门诊完成术前检查检验、麻醉评估等准备工作，待床位空出后直接安 排入院手术。一些地方还推进"预住院"费用医保支付试点，患者的术前检查检验相关费用可在正式入院 后纳入住院费用结算。 再如，"预住院"主要面向部分择期手术患者，而非所有住院人群。如何科学、合理地界定适用人群，既 关乎服务效率，也体现医疗管理的精细化水平。此外，检查前移意味着门诊的压力增大，需要更精细的 预约排程、导诊服务，更智能的信息系统支持。在探索过程中，应鼓励医院因地制宜，结合自身专科特 点与资源条件，设计合理的实施方案，避免"一刀切"产生负面影响。 近年来，从检查检验结果互认，到日间手术推广，再到多学科诊疗模式普及，一系列创新举措推动医疗 服务体系向更高效、更人性化方向迈进。2025年，全国有360个地市的检查检验结果互认达到200种以 上。这些以患者需求为导向的"减负""破壁"之举广受欢迎，带来启示：医疗服务模式创新越是贴合实 际、直指问题，越能转化为群众实实在在的看病就医获得感。 往深远看，"预住院"等实践的价值不仅 ...

【点评】 【现象】为缓解医疗机构"一床难求"，减少患者开支，近年来多地针对诊断明确、病情稳定的择期手术 患者推出"预住院"服务。患者可在门诊完成术前检查检验、麻醉评估等准备工作，待床位空出后直接安 排入院手术。一些地方还推进"预住院"费用医保支付试点，患者的术前检查检验相关费用可在正式入院 后纳入住院费用结算。 比如，"预住院"将部分服务从住院环节剥离，涉及收费项目、医保报销政策的衔接与调整，尤需强化部 门之间的协同和医保部门的深度参与。配套推出更便捷高效的支付与结算机制，才能确保政策红利顺畅 惠及患者。 再如，"预住院"主要面向部分择期手术患者，而非所有住院人群。如何科学、合理地界定适用人群，既 关乎服务效率，也体现医疗管理的精细化水平。此外，检查前移意味着门诊的压力增大，需要更精细的 预约排程、导诊服务，更智能的信息系统支持。在探索过程中，应鼓励医院因地制宜，结合自身专科特 点与资源条件，设计合理的实施方案，避免"一刀切"产生负面影响。 近年来，从检查检验结果互认，到日间手术推广，再到多学科诊疗模式普及，一系列创新举措推动医疗 服务体系向更高效、更人性化方向迈进。2025年，全国有360个地市的检查检验结 ...

Core Viewpoint - Guangdong Province will implement a "one registration covers three days" policy for public medical institutions starting January 1, 2026, aimed at reducing patient costs and improving convenience in medical services [1][2]. Group 1: Policy Implementation - The "one registration covers three days" policy allows patients to receive a follow-up appointment within three days without additional registration fees if diagnostic results are not available on the same day [2]. - The policy will be applied to all public medical institutions in Guangdong, including traditional Chinese medicine and maternal and child health institutions, with encouragement for private medical institutions to adopt similar measures [1][2]. Group 2: Pilot Program Results - The pilot program, initiated in cities like Shenzhen, Zhuhai, and Guangzhou, has served nearly 7 million patients since its launch, demonstrating significant positive outcomes [3]. - In Shenzhen, over 500 million patients benefited from the policy, with diagnostic fees waived amounting to over 200 million yuan [3]. - Zhuhai implemented a similar policy allowing free follow-up appointments within a week, resulting in a fee reduction of nearly 13 million yuan [3].

Core Insights - The article highlights the innovative daytime medical service model implemented in Liaocheng, which significantly improves the treatment experience for cancer patients by allowing them to receive care without lengthy hospital stays [1][2][3] Group 1: Service Model Innovation - Liaocheng has established a daytime radiotherapy and chemotherapy center, set to be operational by July 2024, focusing on optimizing medical resource allocation and enhancing patient experience [1] - The center employs a "four-in-one" service framework that includes process re-engineering, multidisciplinary collaboration, smart empowerment, and humanistic care to provide efficient and precise treatment [1][2] Group 2: Process Optimization - The city has integrated diagnostic and treatment processes, allowing patients to move from outpatient consultation to treatment planning in an average of just one working day [2] - The use of a unified appointment and intelligent scheduling system has reduced the average time patients spend in the hospital by over 2 hours per visit, achieving a "treat and go" model [1][2] Group 3: Multidisciplinary Collaboration - A multidisciplinary team, including specialists in radiation therapy, traditional Chinese medicine, nutrition, and psychology, collaborates to create personalized care plans for patients, ensuring a comprehensive management approach [2] - This integrated care model forms a closed-loop system of "treatment-rehabilitation-support," enhancing the overall patient experience [2] Group 4: Quality and Safety Measures - The city has incorporated daytime medical services into a unified quality control system, establishing mechanisms for quality checks and traceability throughout the treatment process [2] - Initiatives such as patient care stations and a 24-hour online communication platform have been implemented to ensure timely responses and support for patients [2] Group 5: Impact and Future Plans - Since its launch, the model has served thousands of cancer patients, achieving a treatment completion rate of over 95% and increasing bed turnover rates in related departments by over 30% [2] - The successful implementation of this model is being expanded to county-level healthcare facilities, enhancing regional cancer prevention and treatment capabilities [2][3] - Future plans include further development of daytime surgeries and chemotherapy, aiming to create a more efficient, precise, and patient-centered healthcare network [3]

Core Insights - The Jiangsu province is enhancing its healthcare services through innovative medical technologies and improved patient experiences, as evidenced by the inclusion of advanced medical techniques in the national "Good Technology" project [1][2] - The focus on high-quality development in public hospitals aims to meet the health needs of the population by improving medical technology, service models, and patient experiences [1][3] Group 1: Medical Innovations - Two medical technologies from Zhenjiang's hospitals have been recognized in the national "Good Technology" project, showcasing the city's commitment to healthcare innovation [1] - The Zhenjiang First People's Hospital successfully performed a complex finger reconstruction surgery using advanced techniques, marking a significant achievement in local medical capabilities [2][3] Group 2: Public Hospital Development - Zhenjiang is prioritizing the development of specialized capabilities in public hospitals, with multiple national and provincial key specialty units established to enhance healthcare services [3][4] - The integration of traditional Chinese medicine into modern healthcare practices is being emphasized, with new initiatives to promote its application in various medical conditions [4] Group 3: Patient Experience Improvements - The implementation of a health cloud platform allows for the sharing of medical imaging and test results across multiple healthcare facilities, significantly improving patient convenience [5][6] - Community health centers are enhancing patient access to specialists through innovative appointment systems and telemedicine, reducing the need for patients to travel for care [7][8] Group 4: Community Health Initiatives - The "Service for People's Health Action" initiative by Zhenjiang First People's Hospital aims to provide accessible healthcare services in local communities, addressing the challenges of distance and specialist availability [8] - A series of measures have been introduced to streamline healthcare processes and improve patient satisfaction, including free follow-up visits and reduced medical fees [8][9] Group 5: Future Directions - The Zhenjiang health authority is committed to establishing a regional medical center and enhancing public hospital reforms to ensure high-quality healthcare delivery [10]