意大利中部和南部的日间护理白内障手术：一项多中心调查。

Day care cataract surgery in Central and Southern Italy: a multicentric survey.

作者信息

Cillino Salvatore, Casuccio Alessandra, Di Pace Francesco, Pillitteri Francesco, Cillino Giovanni, Lodato Gaetano

机构信息

Department of Clinical Neuroscience, Section of Ophthalmology, University of Palermo, Palermo, Italy.

出版信息

BMC Health Serv Res. 2007 Feb 1;7:16. doi: 10.1186/1472-6963-7-16.

DOI:10.1186/1472-6963-7-16

PMID:17270040

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1797011/

Abstract

BACKGROUND

Cataract day surgery has rapidly gained worldwide acceptance, because the new surgical techniques and costs are generally lower than those involved in ordinary hospitalization. Cataract surgery serves as a proxy indicator of the trend towards day surgery hospitalization in Italy and, therefore, of regional variability in health-care delivery and cost. The aim of this study was to update the diffusion of cataract day surgery through various surgical ophthalmological centers in central and southern Italy during 2005.

METHODS

A two-stage stratified cluster sampling method was used to draw a sample of Cataract Surgery Unit from Ophthalmic Units of central and southern Italy. A questionnaire was sent to 25 cataract surgery centers in nine health districts that represented the range of establishments (public, private, accredited or otherwise) in which cataract surgery is performed. Data were collected on numbers of procedures performed in 2005, hospital admission type, time from the onset of cataract day surgery, surgical procedure, and presence of other surgical centers.

RESULTS

The response rate was 42% (10 surveys), resulting in at least one completed questionnaire for each of these 9 districts. There is a positive trend towards day surgery hospitalization in all surgical centers. The percentage of patients treated as outpatients during 2005 varied from 50-60% (Avellino, Naples, Campobasso), to 80-90% (Rome, Bari), up to 90-100% (Catania, Palermo, Siracusa and Trapani), with an increasing trend in all the centers studied. Few differences were found in surgical procedures, and these were statistically insignificant.

CONCLUSION

Our results confirm a positive trend towards day surgery in place of hospital inpatient admission for cataract surgery. This trend is expected to close the existing regional gap in Italy. Increased efficiency is an overriding need for the National Health Service in order to improve the rationalization of resources.

摘要

背景

白内障日间手术已迅速在全球范围内得到认可，因为新的手术技术以及成本总体上低于普通住院治疗。白内障手术可作为意大利日间手术住院趋势的一个替代指标，进而反映医疗服务提供和成本方面的地区差异。本研究的目的是更新2005年意大利中部和南部各眼科手术中心白内障日间手术的普及情况。

方法

采用两阶段分层整群抽样方法，从意大利中部和南部的眼科科室中抽取白内障手术单元样本。向九个卫生区的25个白内障手术中心发送了一份问卷，这些卫生区代表了进行白内障手术的各类机构（公立、私立、经认可或其他）。收集了2005年手术例数、住院类型、白内障日间手术开展时间、手术方式以及其他手术中心情况的数据。

结果

回复率为42%（10份调查问卷），这使得这9个区每个区至少有一份完整问卷。所有手术中心的日间手术住院都呈积极趋势。2005年门诊治疗患者的比例从50%-60%（阿韦利诺、那不勒斯、坎波巴索）到80%-90%（罗马、巴里），再到90%-100%（卡塔尼亚、巴勒莫、锡拉库萨和特拉帕尼），且在所研究的所有中心都呈上升趋势。手术方式上差异不大，且无统计学意义。