Leopold D A, Lagoe R J
Arch Otolaryngol Head Neck Surg. 1986 Jun;112(6):623-7. doi: 10.1001/archotol.1986.03780060035004.
Utilization of otolaryngologic surgical procedures performed in Syracuse, NY, during 1983 and 1984 was evaluated. Both inpatient and outpatient procedures were included; classification was according to diagnosis related groups. The system-wide portion of the analysis demonstrated that 62.5% of otolaryngologic operations carried out during the study were performed in outpatient settings. Total utilization was highest for myringotomies, tonsillectomies, and adenoidectomies, over 80% of which were performed on an outpatient basis. The program-specific portion of the analysis indicated that the highest volumes for these procedures were produced by a free-standing ambulatory surgery program with dedicated facilities and staff. However, a hospital-integrated program, which made use of inpatient resources, also served a majority of total hospital cases for several types of procedures.
对1983年和1984年在纽约州锡拉丘兹市进行的耳鼻喉科外科手术的使用情况进行了评估。评估内容包括住院手术和门诊手术；分类依据是诊断相关分组。分析中的全系统部分表明，在研究期间进行的耳鼻喉科手术中，62.5%是在门诊环境中进行的。鼓膜切开术、扁桃体切除术和腺样体切除术的总使用率最高，其中超过80%是在门诊进行的。分析中的特定项目部分表明，这些手术的最高例数是由一个拥有专用设施和工作人员的独立门诊手术项目产生的。然而，一个利用住院资源的医院综合项目也为几种手术类型的大多数住院病例提供了服务。
