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Evaluation of day care versus inpatient cataract surgery performed at a Jiangsu public Tertiary A hospital

机译:在江苏省公立三级甲等医院进行的日托与住院白内障手术的评估

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High cataract incidence and low cataract surgical rate are serious public health problems in China, despite the fact that efficient day care cataract surgery has been implemented in some public Tertiary A hospitals in China. In this study, we compared not only clinical outcomes, hospitalization time and total costs but also payment manners between day care and inpatient procedures?for cataract surgery in a Jiangsu public Tertiary A hospital to put forward several instructional suggestions for the improvement of government medical policies. In total, 4151?day care cases and 2509 inpatient cases underwent the same cataract surgery in the day care ward and ordinary ward respectively, and were defined as two groups. General information, complications, postoperative best corrected visual acuity (BCVA), hospitalization time, total costs and especially payment method were analyzed to compare day care versus inpatient. The general data display no significant differences (P?>?0.05), and no significant difference between complications and postoperative BCVA were observed between the two groups (P?>?0.05). The period of stay in hospital was significantly different (P?
机译:尽管中国一些公立三级甲等医院已经实施了有效的日托白内障手术,但白内障高发率和白内障手术率低是中国严重的公共卫生问题。在这项研究中,我们不仅比较了临床结果,住院时间和总费用,而且还比较了江苏省公立A医院白内障手术的日托和住院程序之间的付款方式,从而提出了一些改善政府医疗政策的指导性建议。 。在日托病房和普通病房中,总共有4151例日托病例和2509例住院患者分别接受了相同的白内障手术,并被分为两组。分析一般信息,并发症,术后最佳矫正视力(BCVA),住院时间,总费用,尤其是付款方式,以比较日托与住院。总体数据显示两组之间无显着差异(P≥0.05),两组并发症和术后BCVA之间也无显着差异(P≥0.05)。住院时间差异显着(P <0.001)。日托的总费用比住院患者低(P <0.001)。为避免抽样误差,我们分析了该期间每个患者的付款方式数据。日托患者倾向于使用城镇雇员基本医疗保险(UEBMI)方法来支付手术费用,而住院患者倾向于使用自付费用医疗(OMT)支付方法(P <0.001)。白内障的日间手术比具有同等临床结果的住院手术更具成本效益和效率。作为一种有效的治疗方案,应进一步促进和支持政府政策支持日托手术。

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