Lewis C, Bryson J
Portsmouth Medical Audit Advisory Group.
Ann R Coll Surg Engl. 1998 May;80(3):200-2.
We have audited the effects of day surgery on the workload of primary and community care teams in Portsmouth. A modified version of the Audit Commission's 'Patients' Experiences of Surgery' questionnaire was given to all patients admitted for an elective surgical procedure from 16 general practices to the two local hospitals between February and November 1996; 487 completed replies were received. In all, 50% patients consulted primary or community health care staff within 21 days of discharge from hospital. The average total patient contact rate with these staff increased with length of hospital stay from 0.39 contacts/patient for day case to 1.83 contacts/patient for longer stay admissions. Contacts with most members of the primary and community health teams increased with length of hospital stay. The postoperative visit rate by general practitioners and district nurses to day case patients was very low. We conclude that day case surgery at its present level in Portsmouth appears to create less workload for primary and community health services than inpatient surgery.
我们审计了日间手术对朴茨茅斯基层和社区护理团队工作量的影响。1996年2月至11月期间，我们向从16家全科诊所收治并前往两家当地医院接受择期外科手术的所有患者发放了审计委员会《患者手术体验》调查问卷的修订版；共收到487份完整回复。总体而言，50%的患者在出院后21天内咨询过基层或社区医护人员。患者与这些医护人员的平均总接触率随着住院时间的延长而增加，日间手术患者为0.39次/患者，住院时间较长的患者为1.83次/患者。与基层和社区医疗团队大多数成员的接触随着住院时间的延长而增加。全科医生和 district nurses（此处“district nurses”未准确对应中文，可译为“社区护士”）对日间手术患者的术后访视率非常低。我们得出结论，朴茨茅斯目前水平的日间手术似乎比住院手术给基层和社区卫生服务带来的工作量更少。
