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□ 本报记者 杨 彦 "白天来医院接受化疗，晚上还能回家休息，胰腺中心的日间化疗门诊真方便！"近日，江苏省人民医院 （南京医科大学第一附属医院、江苏省妇幼保健院）胰腺中心日间化疗门诊正式投入运行，第一位患者 赵先生（化名）顺利完成当日的治疗流程，不禁为该模式和中心医护人员点赞。 据国家卫生健康委在国新办9月11日举办的"高质量完成'十四五'规划"系列主题新闻发布会上透露，我 国83%的三级医院已经开展日间手术服务。记者了解到，从日间手术探索起步，到如今多学科协作、全 流程优化，江苏省卫健委正对日间医疗服务体系提质扩面，真正实现医疗资源的高效利用和患者就医体 验的显著提升。 晨检暮归， 日间手术刷新诊疗效率与患者体验 日间医疗，从日间手术起步。 日间手术，通常来说，是指患者在24小时内完成住院、手术、术后短暂观察、恢复并办理出院的一种手 术模式，最长不超过48小时，具有高效、便捷的特点，适用于创伤小、恢复快的手术。2016年4月，江 苏省在前期试点的基础上普遍开始开展"日间手术"，当时有乳腺纤维腺瘤、老年性白内障、斜视等20个 病种被列入了"日间手术"的推荐病种。近十年间，日间手术可以完成的术式翻了十倍，开展的 ...

Core Viewpoint - The National Healthcare Security Administration (NHSA) has issued a temporary measure to manage disease-based payment systems, aiming to enhance the standardization of medical insurance payments across all regions in China [1][2]. Group 1: Payment Reform - The traditional payment method in China was fee-for-service, which often led to excessive medical practices such as over-prescribing and unnecessary tests [2]. - Since 2019, the NHSA has been promoting a "disease-based payment" reform, where payments are bundled based on historical data and patient conditions, shifting the focus from quantity of services to cost control [2][4]. - As of the end of 2024, over 90% of hospital discharges will be covered under the disease-based payment system [5]. Group 2: Impact on Medical Institutions - The reform has led to more standardized medical practices, reduced time and costs, and shorter average hospital stays [4]. - Medical institutions can apply for special cases for patients with long hospital stays or high resource consumption, allowing for project-based payments if necessary [4][5]. - Nearly 60% of tertiary public hospitals have adopted "day surgery," allowing patients to complete procedures within 24 hours, thus improving bed turnover and reducing costs [7]. Group 3: Patient Experience - The disease-based payment system reduces the financial burden on patients and encourages hospitals to control costs and standardize treatment [7]. - Patients who previously required hospitalization for simple procedures can now receive treatment as day surgeries, which are reimbursed at the same rate as inpatient care [7][9]. - In Shandong, patients can undergo simple surgeries and be discharged within 24 hours, significantly reducing hospital stay duration and costs by approximately 30% [11].