Lagoe R J, Milliren J W
Am J Public Health. 1986 Feb;76(2):150-3. doi: 10.2105/ajph.76.2.150.
We conducted a study to determine the utilization level for ambulatory surgery and the proportions of specific procedures which could be performed in certain ambulatory settings in one community, Syracuse, New York, which has used this service extensively. It was estimated that, in 1983, 26.9 surgery cases per 1,000 population in Syracuse were performed in ambulatory settings. This level amounted to approximately 37 per cent of hospital-based surgery in the area. Analysis of surgery utilization in two hospital-integrated and freestanding ambulatory surgery facilities indicated that more than 95 per cent of myringotomies, tonsillectomies, and adenoidectomies as well as substantial proportions of carpal tunnel releases, lens extractions, sterilizations, circumcisions, and inguinal hernia repairs in these two facilities were performed in ambulatory settings. The availability of dedicated facilities and full-time staff produced higher utilization for these procedures in freestanding facilities. The utilization levels for individual procedures identified in the study can be employed in the planning of hospital-integrated and freestanding programs.
我们开展了一项研究，以确定纽约州锡拉丘兹市某一社区的门诊手术利用率，以及在特定门诊环境中可以实施的特定手术的比例。该社区广泛使用了这项服务。据估计，1983年，锡拉丘兹市每1000人中就有26.9例手术在门诊环境中进行。这一水平约占该地区医院手术量的37%。对两家医院附属和独立的门诊手术机构的手术利用率进行分析表明，在这两家机构中，超过95%的鼓膜切开术、扁桃体切除术和腺样体切除术，以及相当比例的腕管松解术、晶状体摘除术、绝育手术、包皮环切术和腹股沟疝修补术都是在门诊环境中进行的。独立机构中专用设施和全职工作人员的配备使得这些手术的利用率更高。该研究中确定的各个手术的利用率水平可用于规划医院附属和独立的项目。
