Abstract:

Objective  To explore optimization of diagnosis and treatment procedure and implementation of virtual beds pre-hospitalization mode for reducing average hospital stay before clinical operation, decreasing medical expenses, and improving the management efficiency of hospital. Methods  According to business process reengineering (BPR) and appropriateness evaluation protocol (AEP) and combined with domestic medical situations, new mode was established. The difference analysis of four pilot diseases of the department of general surgery and department of urinary surgery was conducted by independent sample T-test. Results  The differences of actual hospital stay, average hospital stay before operation, and nursing expense of three pilot disease groups, i.e. great saphenous vein surgery group, thyroid surgery group, and laparoscopic cholecystectomy group, were significant after adopting the virtual beds pre-hospitalization mode in 2014 (P<0.05). The differences of total medical expense of great saphenous vein surgery group, thyroid surgery group, and endoscopic holmium laser surgery group were significant (P<0.05). Conclusion  The domestic medical industry can reference the AEP and BP. The virtual beds pre-hospitalization mode has certain practical significance and achieves good results for pilot diseases. The mode can be continuously optimized and can provide applicable evidences for studying the virtual pre-hospitalization mode.

Key words: average clinical preoperative length of stay, virtual beds, pre-hospital model