Cobb R A, Reece-Smith H, Faber R G
Battle Hospital, Reading.
Ann R Coll Surg Engl. 1989 Sep;71(5):303-5.
A reduction of the total scheduled operating time from 12 to 6.5 sessions/week available to a general surgical firm in a district general hospital resulted in 31% fewer admissions and 33% fewer operations on scheduled lists. Our data has confirmed that the brunt of these cuts were borne by patients awaiting routine surgery (the only category of admission which the surgical team can control). Routine operations performed were 54% fewer after the cuts compared with normal working. We estimate that this resulted in an increase of 89 patients awaiting routine surgery in 1 month. The number of emergency operations which we were able to perform on scheduled lists was reduced from 15/month before the cuts to 7/month after the cuts. Our results also illustrate the value of having a separate community hospital where routine surgery can be performed.
一家地区综合医院的普通外科科室，每周的总预定手术时间从12次减至6.5次，这导致预定名单上的入院人数减少了31%，手术量减少了33%。我们的数据证实，这些削减的主要影响由等待常规手术的患者承担（这是手术团队能够控制的唯一一类入院情况）。与正常工作相比，削减后进行的常规手术减少了54%。我们估计，这使得等待常规手术的患者在1个月内增加了89人。我们在预定名单上能够进行的急诊手术数量，从削减前的每月15例降至削减后的每月7例。我们的结果还表明了设立一家独立社区医院来进行常规手术的价值。
