Cadariu Florentina, Enache Alexandra, Avram Mihaela, Muresan Camelia, Olariu Sorin
Ann Ital Chir. 2017;88:567-571.
Well know in USA, Australia and then in western European countries, day surgery is still at the beginning in Romania and eastern European countries. In this paper we want to analyze the evolution and actual situation of day surgery in Romania and in County Emergency Hospital Timisoara (CEHT).
In the implementation of day surgery in our country there were two distinct periods. Between 2007- 2013 the CEHT negotiated its own day surgery baskets with Local Health Insurance Company (LHIC). Starting from 2014 until now, the National Health Insurance Company has established new day surgery baskets which can be negotiated between CEHT and LHIC.
Our study shows that day surgery in CEHT has had an undulating evolution - after a rising development at the beginning it stopped for a few years and now it has an ascendant evolution.
In this context, International Association for Ambulatory Surgery (IAAS) has initiated a series of actions to support implementation and development of day surgery in Romania and Eastern European countries. The first action was the support that the International Association for Ambulatory Surgery gave to the Romanian Society of Ambulatory Surgery in organizing on 15-16 September 2013 in Timisoara the course "Day Surgery - Making it Happen Overcoming Obstacles and Barriers". Discussions after the presentation of local realities in Eastern and Western Europe were particularly creative, being the stand in the accelerated development of day surgery in Romania.
Day surgery and ambulatory surgery have many advantages for patients (increased comfort, lower surgical risk, minimal stress and low anxiety, high satisfaction rate), for hospital (reducing congestion in hospital, enabling it to have a better capacity to deal with serious cases), and for healthcare (increased economic efficiency, cost / patient / surgery is lower than for continuous admissions). Known in our country from 2000, the implementation of day surgery still faces many hardships.
Day surgery, ambulatory surgery, Short hospitalization.
在美国、澳大利亚以及随后的西欧国家，日间手术已广为人知，但在罗马尼亚和东欧国家仍处于起步阶段。在本文中，我们希望分析罗马尼亚以及蒂米什瓦拉县急诊医院（CEHT）日间手术的发展历程和实际情况。
在我国实施日间手术有两个不同阶段。2007年至2013年期间，CEHT与当地健康保险公司（LHIC）协商制定了自己的日间手术套餐。从2014年至今，国家健康保险公司制定了新的日间手术套餐，可由CEHT与LHIC进行协商。
我们的研究表明，CEHT的日间手术发展呈波动状——起初呈上升趋势，之后停滞了数年，现在又呈上升态势。
在此背景下，国际日间手术协会（IAAS）已发起一系列行动，以支持罗马尼亚和东欧国家日间手术的实施与发展。第一项行动是国际日间手术协会于2013年9月15日至16日在蒂米什瓦拉支持罗马尼亚日间手术协会组织了“日间手术——实现目标，克服障碍”课程。在介绍了东欧和西欧的当地实际情况后的讨论特别具有启发性，成为罗马尼亚日间手术加速发展的立足点。
日间手术和门诊手术对患者（舒适度提高、手术风险降低、压力和焦虑最小、满意度高）、医院（减少医院拥堵、使其有更好的能力处理重症病例）以及医疗保健（提高经济效率、每位患者每次手术的成本低于连续住院治疗）都有诸多优势。我国自2000年起就知晓日间手术，但实施过程仍面临诸多困难。
日间手术、门诊手术、短期住院
