Ghosh S
St Mary's Hospital NHS Trust, Newport, Isle of Wight, Grossbritannien.
Chirurg. 1995 May;66(5):474-9.
Day surgery has been practised in Great Britain for many years. However, only in the last few years there has been a great surge of interest in the practice of day surgery. This has taken place despite many obstacles such as clinician's preference for more traditional approaches and initial lack of facilities and resources. Main reason for expansion of day surgery has been due to gradual change in clinical practice with new technology, search for cost efficiency, joint effort by policy makers and professionals and above all positive attitude of patients themselves towards treatment on a day care basis. In the last five years day surgery has nearly doubled in this country. Currently just under half of all elective operations are carried out on a day care basis in Great Britain. However, there is a wide variation in relation to performance of day surgery throughout the country between hospitals. This is true both for total number of surgical patients treated on a day care basis and for individual surgical procedures. Day surgery is now generally accepted as best option of treatment for over 50% of all elective surgical procedures and it is expected that by the end of this decade this figure is likely to be over 60%.
日间手术在英国已开展多年。然而，直到最近几年，人们对日间手术的兴趣才大幅激增。尽管存在诸多障碍，如临床医生对更传统方法的偏好以及最初设施和资源的匮乏，但这种情况还是发生了。日间手术得以扩展的主要原因是随着新技术的出现临床实践逐渐发生变化、对成本效益的追求、政策制定者和专业人员的共同努力，以及最重要的是患者自身对日间护理治疗的积极态度。在过去五年中，该国的日间手术量几乎翻了一番。目前在英国，近一半的择期手术是在日间护理基础上进行的。然而，全国各地医院在日间手术的实施方面存在很大差异。无论是日间护理治疗的外科患者总数还是个别外科手术都是如此。现在，超过50%的择期外科手术，日间手术通常被认为是最佳治疗选择，预计到本十年末，这一数字可能会超过60%。
