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日间医院的立法、法医学及经济学方面

[Legislative, medicolegal and economic aspects of day hospitals].

作者信息

Pepe N, Pepe P, Carnì D

机构信息

Ospedale Provinciale S. Giovanni Battista, AUSL RMG, Tivoli, Roma.

出版信息

Minerva Chir. 2000 Jun;55(6):475-85.

Abstract

After a short historical review and having dwelled on the nomenclature and legislative framework, the authors describe the medicolegal implications of the day hospital. They describe international experience within the various disciplines, with reference to economic aspects in terms of costs and the increased efficacy of these structures, the quality of service and government policies, in particular in industrialised countries. The authors conclude that day hospitals present considerable advantages both in economic terms and for patients. However, the organisation of the system needs to be improved and, where possible, procedures standardised. Bearing in mind the importance of costs to modern medicine, it is impossible not to take economic aspects into account, while also improving the quality of relations between doctors, patients and the health system.

摘要

在进行简短的历史回顾并详述了命名法和立法框架之后,作者们描述了日间医院的法医学影响。他们介绍了各学科领域的国际经验,涉及成本方面的经济因素、这些机构更高的效率、服务质量以及政府政策,尤其提及了工业化国家的情况。作者们得出结论,日间医院在经济方面和对患者而言都具有相当大的优势。然而,该系统的组织需要改进,并且在可能的情况下,程序应标准化。考虑到成本对现代医学的重要性,在提高医生、患者与卫生系统之间关系质量的同时,不可能不考虑经济因素。

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