Feasible Research of Inpatient Package Charge on Surgical Diseases

Abstract

Objective To evaluate the feasibility and patient satisfaction of package charge(PC),and provide clinical evidence to popularize PC in public hospitals. Methods A retrospective review of patients who underwent PC from February to June,2016 in The University of Hong Kong-Shenzhen Hospital was performed. Evaluation of PC eligibility was performed by surgeons before admission, patient satisfaction survey questionnaire was assessed after discharge. SPSS was used for data analysis. Results A total of 336 patients were evaluated for PC eligibility. The most common operations were laparoscopic cholecystectomy(161,47.9%)and total/unilateral thyroidectomy(78,23.2%),and 240 patients(71.4%) were included into PC. 89% and 88% patients thought that drug abuse and unnecessary examination can be decreased by PC. 91% patients agreed with the popularization of PC. Conclusion As an innovative attempt,package charge is feasible in the public hospital. It reduces the waste of medical source,with good patient satisfaction. PC is worth to be popularized in China.

目的分析手術病例住院打包收費政策的可行性和患者滿意度,為該政策在公立醫院的實施提供臨床依據。方法回顧性分析2016年2月—6月在香港大學深圳醫院接受打包收費的手術患者。入院時由臨床專科醫師填寫打包收費篩查表,患者出院時填寫滿意度調查問卷。采用SPSS軟件分析患者打包收費的入組情況和滿意度。結果共有336例患者參與打包收費篩查,最常見的手術病種是腹腔鏡膽囊切除(161例,47.9%)和單/雙側甲狀腺切除(78例,23.2%)。共有240例患者納入打包收費,入組率71.4%。有231位參與打包收費的患者術后接受調查。分別有89%和88%的患者認為打包收費可以有效控制'過度用藥'和'過度檢查'。91%的患者贊同或非常贊同手術打包收費的政策推廣。結論打包收費作為一次創新性的嘗試,其在公立醫院中是可行的,在一定程度上減少了醫療資源的浪費,患者滿意度高,值得進一步推廣。