Progress in evaluation index of health resource utilization efficiency in enhanced recovery after surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIANG Shiqi ¹ ,  LI Ka ¹ , CHEN Xinrong ¹ , HUANG Mingjun ² , YANG Jie ³

1. West China School of Nursing, Sichuan University, Chengdu 610041, P. R. China;
2. Day Surgery Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
3. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

LI Ka, Email: likalika127127@163.com

Keywords：

enhanced recovery after surgery; health resource; utilization efficiency; evaluation index; review

DOI：

10.7507/1007-9424.202003070

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the evaluation indexes of health resource utilization efficiency in enhanced recovery after surgery (ERAS) , so as to provide reference for the construction of evaluation index system.Method Literatures on the allocation, utilization, and efficiency of ERAS health resources at home and abroad in recent years were reviewed and analyzed.Results At present, no systematic evaluation index system of ERAS health resources utilization efficiency had been formed at home and abroad. In the research, the formulation direction of input index mainly included ERAS human resources allocation and material resources allocation, while the formulation direction of output index mainly included ERAS medical resources utilization.Conclusions The evaluation system of ERAS health resources utilization efficiency is not perfect and the research scope of its index system is too small, which restricts the standardization promotion of ERAS. It is an urgent problem to construct a scientific evaluation index system for ERAS health resources utilization efficiency.

Citation： LIANG Shiqi, LI Ka, CHEN Xinrong, HUANG Mingjun, YANG Jie. Progress in evaluation index of health resource utilization efficiency in enhanced recovery after surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(10): 1314-1318. doi: 10.7507/1007-9424.202003070 Copy

1.	唐齐鑫, 鲁锋, 徐飞, 等. 我国卫生资源配置公平性与效率分析. 现代预防医学, 2018, 45(6): 1043-1047.
2.	周明华, 肖政. 我国卫生资源配置状况及公平性分析. 中国社会医学杂志, 2019, 36(2): 193-196.
3.	雷鹏, 冯志昕, 丁荆妮, 等. 中国医疗资源配置与服务利用现状评价. 卫生经济研究, 2019, 36(5): 50-55.
4.	翁艳翎, 陶岚, 陈丽方, 等. 国内外护理人力资源效率指标的研究进展. 护理研究, 2019, 33(12): 2049-2052.
5.	Bekker R, Koole G, Roubos D. Flexible bed allocations for hospital wards. Health Care Manag Sci, 2017, 20(4): 453-466.
6.	Ferreira DC, Nunes AM, Marques RC. Doctors, nurses, and the optimal scale size in the portuguese public hospitals. Health Policy, 2018, 122(10): 1093-1100.
7.	李卡, 杨婕, 胡艳杰, 等. 加速康复外科模式在国内外应用的评价指标研究进展. 中国普外基础与临床杂志, 2018, 25(5): 629-634.
8.	孙慧慧, 邵珂, 张娜, 等. 基于三维质量结构模式普外科加速康复护理质量评价指标体系的构建. 护理学报, 2019, 26(23): 29-33.
9.	Guindo LA, Wagner M, Baltussen R, <italic>et al</italic>. From efficacy to equity: literature review of decision criteria for resource allocation and healthcare decisionmaking. Cost Eff Resour Alloc, 2012, 10(1): 9.
10.	Charnes A, Cooper WW, Rhodes E. Measuring the efficiency of decision making units. European J Operational Research, 1978, 2(6): 429-444.
11.	魏权龄. 数据包括分析(DEA). 科学通报, 2000, 45(17): 1793-1808.
12.	杨国斌, 李永昌, 陈莉, 等. 一项临床技术革命引发的医学伦理学思考—基于 ERAS 的探讨. 医学与哲学, 2017, 38(10A): 31-33, 46.
13.	庄英, 段霞, 施雁, 等. 基于 ERAS 理念开展日间手术科室责任护士工作体验的质性研究. 中国实用护理杂志, 2019, 35(20): 1533-1537.
14.	Hübner M, Addor V, Slieker J, <italic>et al</italic>. The impact of an enhanced recovery pathway on nursing workload: a retrospective cohort study. Int J Surg, 2015, 24(Pt A): 45-50.
15.	王斌, 王琳, 李萍, 等. 基于三维质量结构模式 PICU 护理敏感性质量指标体系的构建. 护理学报, 2019, 26(1): 17-21.
16.	王霄霄, 方秀新, 吕小芹, 等. 加速康复外科护理人力资源配置研究. 护理学杂志, 2018, 33(13): 46-49.
17.	陈洁. 快速康复外科理念在手术室服务流程再造中的应用. 护士进修杂志, 2018, 33(7): 664-667.
18.	王刚, 江志伟. 加速康复外科推广过程中面临的挑战与对策. 山东大学学报: 医学版, 2019, 57(9): 24-27, 37.
19.	Dohan D, Schrag D. Using navigators to improve care of underserved patients: current practices and approaches. Cancer, 2005, 104(4): 848-855.
20.	杨艳英, 杨静, 勾冯茜. 导航护士在加速康复外科中的作用: 以腹腔镜肝切除围手术期为例. 中国卫生质量管理, 2020, 27(2): 19-22.
21.	徐虹霞, 潘红英, 王宏伟, 等. 加速康复外科实施过程中导航护士角色的设立及实践. 中华护理杂志, 2017, 52(5): 530-534.
22.	申海燕, 罗迎霞, 吴伟霞, 等. 泌尿外科快速周转病区的建立与管理. 护理学杂志, 2016, 31(12): 68-70.
23.	王霄霄, 方秀新, 郑春辉, 等. 基于零缺陷管理理论构建肝胆外科加速康复评价指标体系. 护理学杂志, 2019, 34(10): 8-11.
24.	王恒, 范军, 薛典富, 等. 循环水床垫保温在胃肠癌患者加速康复外科中的应用效果. 安徽医学, 2019, 40(7): 793-795.
25.	孙倩, 徐宏涛. 公立医院实施加速康复外科成本管理的研究. 现代医院, 2018, 18(8): 1151-1154.
26.	汪晓东, 安丽珉, 李立. 数据库研究第二部分: 结直肠癌的住院流程管理. 中国普外基础与临床杂志, 2019, 26(4): 469-475.
27.	Johnston A, McCutcheon C, Renwick A, <italic>et al</italic>. PWE-414 A designated eras nurse consistently achieves eras goals with significant cost reductions for the nhs. Gut, 2015, 64: A391-A392.
28.	李卡, 胡艳杰, 刘雨薇, 等. 加速康复外科应用于结直肠癌根治术围手术期管理的效果研究. 中华结直肠疾病电子杂志, 2018, 7(3): 288-293.
29.	Miller TE, Thacker JK, White WD, <italic>et al</italic>. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg, 2014, 118(5): 1052-1061.
30.	唐星明, 唐刘蕴泉, 黎介寿. 加速康复外科理念提升医院管理能力. 中华医院管理杂志, 2017, 33(1): 72-74.
31.	King AB, Spann MD, Jablonski P, <italic>et al</italic>. An enhanced recovery program for bariatric surgical patients significantly reduces perioperative opioid consumption and postoperative nausea. Surg Obes Relat Dis, 2018, 14(6): 849-856.
32.	李菁. 京津冀医疗卫生资源配置现状与效率的研究. 石家庄: 河北经贸大学, 2018.
33.	Stone AB, Grant MC, Roda CP, <italic>et al</italic>. Implementation costs of an enhanced recovery after surgery program in the united states: a financial model and sensitivity analysis based on experiences at a quaternary academic medical center. J Am Coll Surg, 2016, 222(3): 219-225.
34.	陈俊强, 柳思雨. 加速康复外科临床实践争议问题与思考. 中国普外基础与临床杂志, 2019, 26(11): 1273-1277.

1. 唐齐鑫, 鲁锋, 徐飞, 等. 我国卫生资源配置公平性与效率分析. 现代预防医学, 2018, 45(6): 1043-1047.
2. 周明华, 肖政. 我国卫生资源配置状况及公平性分析. 中国社会医学杂志, 2019, 36(2): 193-196.
3. 雷鹏, 冯志昕, 丁荆妮, 等. 中国医疗资源配置与服务利用现状评价. 卫生经济研究, 2019, 36(5): 50-55.
4. 翁艳翎, 陶岚, 陈丽方, 等. 国内外护理人力资源效率指标的研究进展. 护理研究, 2019, 33(12): 2049-2052.
5. Bekker R, Koole G, Roubos D. Flexible bed allocations for hospital wards. Health Care Manag Sci, 2017, 20(4): 453-466.
6. Ferreira DC, Nunes AM, Marques RC. Doctors, nurses, and the optimal scale size in the portuguese public hospitals. Health Policy, 2018, 122(10): 1093-1100.
7. 李卡, 杨婕, 胡艳杰, 等. 加速康复外科模式在国内外应用的评价指标研究进展. 中国普外基础与临床杂志, 2018, 25(5): 629-634.
8. 孙慧慧, 邵珂, 张娜, 等. 基于三维质量结构模式普外科加速康复护理质量评价指标体系的构建. 护理学报, 2019, 26(23): 29-33.
9. Guindo LA, Wagner M, Baltussen R, <italic>et al</italic>. From efficacy to equity: literature review of decision criteria for resource allocation and healthcare decisionmaking. Cost Eff Resour Alloc, 2012, 10(1): 9.
10. Charnes A, Cooper WW, Rhodes E. Measuring the efficiency of decision making units. European J Operational Research, 1978, 2(6): 429-444.
11. 魏权龄. 数据包括分析(DEA). 科学通报, 2000, 45(17): 1793-1808.
12. 杨国斌, 李永昌, 陈莉, 等. 一项临床技术革命引发的医学伦理学思考—基于 ERAS 的探讨. 医学与哲学, 2017, 38(10A): 31-33, 46.
13. 庄英, 段霞, 施雁, 等. 基于 ERAS 理念开展日间手术科室责任护士工作体验的质性研究. 中国实用护理杂志, 2019, 35(20): 1533-1537.
14. Hübner M, Addor V, Slieker J, <italic>et al</italic>. The impact of an enhanced recovery pathway on nursing workload: a retrospective cohort study. Int J Surg, 2015, 24(Pt A): 45-50.
15. 王斌, 王琳, 李萍, 等. 基于三维质量结构模式 PICU 护理敏感性质量指标体系的构建. 护理学报, 2019, 26(1): 17-21.
16. 王霄霄, 方秀新, 吕小芹, 等. 加速康复外科护理人力资源配置研究. 护理学杂志, 2018, 33(13): 46-49.
17. 陈洁. 快速康复外科理念在手术室服务流程再造中的应用. 护士进修杂志, 2018, 33(7): 664-667.
18. 王刚, 江志伟. 加速康复外科推广过程中面临的挑战与对策. 山东大学学报: 医学版, 2019, 57(9): 24-27, 37.
19. Dohan D, Schrag D. Using navigators to improve care of underserved patients: current practices and approaches. Cancer, 2005, 104(4): 848-855.
20. 杨艳英, 杨静, 勾冯茜. 导航护士在加速康复外科中的作用: 以腹腔镜肝切除围手术期为例. 中国卫生质量管理, 2020, 27(2): 19-22.
21. 徐虹霞, 潘红英, 王宏伟, 等. 加速康复外科实施过程中导航护士角色的设立及实践. 中华护理杂志, 2017, 52(5): 530-534.
22. 申海燕, 罗迎霞, 吴伟霞, 等. 泌尿外科快速周转病区的建立与管理. 护理学杂志, 2016, 31(12): 68-70.
23. 王霄霄, 方秀新, 郑春辉, 等. 基于零缺陷管理理论构建肝胆外科加速康复评价指标体系. 护理学杂志, 2019, 34(10): 8-11.
24. 王恒, 范军, 薛典富, 等. 循环水床垫保温在胃肠癌患者加速康复外科中的应用效果. 安徽医学, 2019, 40(7): 793-795.
25. 孙倩, 徐宏涛. 公立医院实施加速康复外科成本管理的研究. 现代医院, 2018, 18(8): 1151-1154.
26. 汪晓东, 安丽珉, 李立. 数据库研究第二部分: 结直肠癌的住院流程管理. 中国普外基础与临床杂志, 2019, 26(4): 469-475.
27. Johnston A, McCutcheon C, Renwick A, <italic>et al</italic>. PWE-414 A designated eras nurse consistently achieves eras goals with significant cost reductions for the nhs. Gut, 2015, 64: A391-A392.
28. 李卡, 胡艳杰, 刘雨薇, 等. 加速康复外科应用于结直肠癌根治术围手术期管理的效果研究. 中华结直肠疾病电子杂志, 2018, 7(3): 288-293.
29. Miller TE, Thacker JK, White WD, <italic>et al</italic>. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg, 2014, 118(5): 1052-1061.
30. 唐星明, 唐刘蕴泉, 黎介寿. 加速康复外科理念提升医院管理能力. 中华医院管理杂志, 2017, 33(1): 72-74.
31. King AB, Spann MD, Jablonski P, <italic>et al</italic>. An enhanced recovery program for bariatric surgical patients significantly reduces perioperative opioid consumption and postoperative nausea. Surg Obes Relat Dis, 2018, 14(6): 849-856.
32. 李菁. 京津冀医疗卫生资源配置现状与效率的研究. 石家庄: 河北经贸大学, 2018.
33. Stone AB, Grant MC, Roda CP, <italic>et al</italic>. Implementation costs of an enhanced recovery after surgery program in the united states: a financial model and sensitivity analysis based on experiences at a quaternary academic medical center. J Am Coll Surg, 2016, 222(3): 219-225.
34. 陈俊强, 柳思雨. 加速康复外科临床实践争议问题与思考. 中国普外基础与临床杂志, 2019, 26(11): 1273-1277.

Previous Article
Role of Kupffer cells in ischemia-reperfusion injury during liver transplantation
Next Article
The change of voice quality after thyroidectomy without recurrent laryngeal nerve injury

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Progress in evaluation index of health resource utilization efficiency in enhanced recovery after surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content