Progress in evaluation index of health resource utilization efficiency in enhanced recovery after surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIANG Shiqi ¹ ,  LI Ka ¹ , CHEN Xinrong ¹ , HUANG Mingjun ² , YANG Jie ³

1. West China School of Nursing, Sichuan University, Chengdu 610041, P. R. China;
2. Day Surgery Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
3. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

LI Ka, Email: likalika127127@163.com

Keywords：

enhanced recovery after surgery; health resource; utilization efficiency; evaluation index; review

DOI：

10.7507/1007-9424.202003070

Video：

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Objective To summarize the evaluation indexes of health resource utilization efficiency in enhanced recovery after surgery (ERAS) , so as to provide reference for the construction of evaluation index system.Method Literatures on the allocation, utilization, and efficiency of ERAS health resources at home and abroad in recent years were reviewed and analyzed.Results At present, no systematic evaluation index system of ERAS health resources utilization efficiency had been formed at home and abroad. In the research, the formulation direction of input index mainly included ERAS human resources allocation and material resources allocation, while the formulation direction of output index mainly included ERAS medical resources utilization.Conclusions The evaluation system of ERAS health resources utilization efficiency is not perfect and the research scope of its index system is too small, which restricts the standardization promotion of ERAS. It is an urgent problem to construct a scientific evaluation index system for ERAS health resources utilization efficiency.

Citation： LIANG Shiqi, LI Ka, CHEN Xinrong, HUANG Mingjun, YANG Jie. Progress in evaluation index of health resource utilization efficiency in enhanced recovery after surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(10): 1314-1318. doi: 10.7507/1007-9424.202003070 Copy

1.	唐齊鑫, 魯鋒, 徐飛, 等. 我國衛生資源配置公平性與效率分析. 現代預防醫學, 2018, 45(6): 1043-1047.
2.	周明華, 肖政. 我國衛生資源配置狀況及公平性分析. 中國社會醫學雜志, 2019, 36(2): 193-196.
3.	雷鵬, 馮志昕, 丁荊妮, 等. 中國醫療資源配置與服務利用現狀評價. 衛生經濟研究, 2019, 36(5): 50-55.
4.	翁艷翎, 陶嵐, 陳麗方, 等. 國內外護理人力資源效率指標的研究進展. 護理研究, 2019, 33(12): 2049-2052.
5.	Bekker R, Koole G, Roubos D. Flexible bed allocations for hospital wards. Health Care Manag Sci, 2017, 20(4): 453-466.
6.	Ferreira DC, Nunes AM, Marques RC. Doctors, nurses, and the optimal scale size in the portuguese public hospitals. Health Policy, 2018, 122(10): 1093-1100.
7.	李卡, 楊婕, 胡艷杰, 等. 加速康復外科模式在國內外應用的評價指標研究進展. 中國普外基礎與臨床雜志, 2018, 25(5): 629-634.
8.	孫慧慧, 邵珂, 張娜, 等. 基于三維質量結構模式普外科加速康復護理質量評價指標體系的構建. 護理學報, 2019, 26(23): 29-33.
9.	Guindo LA, Wagner M, Baltussen R, <italic>et al</italic>. From efficacy to equity: literature review of decision criteria for resource allocation and healthcare decisionmaking. Cost Eff Resour Alloc, 2012, 10(1): 9.
10.	Charnes A, Cooper WW, Rhodes E. Measuring the efficiency of decision making units. European J Operational Research, 1978, 2(6): 429-444.
11.	魏權齡. 數據包括分析(DEA). 科學通報, 2000, 45(17): 1793-1808.
12.	楊國斌, 李永昌, 陳莉, 等. 一項臨床技術革命引發的醫學倫理學思考—基于 ERAS 的探討. 醫學與哲學, 2017, 38(10A): 31-33, 46.
13.	莊英, 段霞, 施雁, 等. 基于 ERAS 理念開展日間手術科室責任護士工作體驗的質性研究. 中國實用護理雜志, 2019, 35(20): 1533-1537.
14.	Hübner M, Addor V, Slieker J, <italic>et al</italic>. The impact of an enhanced recovery pathway on nursing workload: a retrospective cohort study. Int J Surg, 2015, 24(Pt A): 45-50.
15.	王斌, 王琳, 李萍, 等. 基于三維質量結構模式 PICU 護理敏感性質量指標體系的構建. 護理學報, 2019, 26(1): 17-21.
16.	王霄霄, 方秀新, 呂小芹, 等. 加速康復外科護理人力資源配置研究. 護理學雜志, 2018, 33(13): 46-49.
17.	陳潔. 快速康復外科理念在手術室服務流程再造中的應用. 護士進修雜志, 2018, 33(7): 664-667.
18.	王剛, 江志偉. 加速康復外科推廣過程中面臨的挑戰與對策. 山東大學學報: 醫學版, 2019, 57(9): 24-27, 37.
19.	Dohan D, Schrag D. Using navigators to improve care of underserved patients: current practices and approaches. Cancer, 2005, 104(4): 848-855.
20.	楊艷英, 楊靜, 勾馮茜. 導航護士在加速康復外科中的作用: 以腹腔鏡肝切除圍手術期為例. 中國衛生質量管理, 2020, 27(2): 19-22.
21.	徐虹霞, 潘紅英, 王宏偉, 等. 加速康復外科實施過程中導航護士角色的設立及實踐. 中華護理雜志, 2017, 52(5): 530-534.
22.	申海燕, 羅迎霞, 吳偉霞, 等. 泌尿外科快速周轉病區的建立與管理. 護理學雜志, 2016, 31(12): 68-70.
23.	王霄霄, 方秀新, 鄭春輝, 等. 基于零缺陷管理理論構建肝膽外科加速康復評價指標體系. 護理學雜志, 2019, 34(10): 8-11.
24.	王恒, 范軍, 薛典富, 等. 循環水床墊保溫在胃腸癌患者加速康復外科中的應用效果. 安徽醫學, 2019, 40(7): 793-795.
25.	孫倩, 徐宏濤. 公立醫院實施加速康復外科成本管理的研究. 現代醫院, 2018, 18(8): 1151-1154.
26.	汪曉東, 安麗珉, 李立. 數據庫研究第二部分: 結直腸癌的住院流程管理. 中國普外基礎與臨床雜志, 2019, 26(4): 469-475.
27.	Johnston A, McCutcheon C, Renwick A, <italic>et al</italic>. PWE-414 A designated eras nurse consistently achieves eras goals with significant cost reductions for the nhs. Gut, 2015, 64: A391-A392.
28.	李卡, 胡艷杰, 劉雨薇, 等. 加速康復外科應用于結直腸癌根治術圍手術期管理的效果研究. 中華結直腸疾病電子雜志, 2018, 7(3): 288-293.
29.	Miller TE, Thacker JK, White WD, <italic>et al</italic>. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg, 2014, 118(5): 1052-1061.
30.	唐星明, 唐劉蘊泉, 黎介壽. 加速康復外科理念提升醫院管理能力. 中華醫院管理雜志, 2017, 33(1): 72-74.
31.	King AB, Spann MD, Jablonski P, <italic>et al</italic>. An enhanced recovery program for bariatric surgical patients significantly reduces perioperative opioid consumption and postoperative nausea. Surg Obes Relat Dis, 2018, 14(6): 849-856.
32.	李菁. 京津冀醫療衛生資源配置現狀與效率的研究. 石家莊: 河北經貿大學, 2018.
33.	Stone AB, Grant MC, Roda CP, <italic>et al</italic>. Implementation costs of an enhanced recovery after surgery program in the united states: a financial model and sensitivity analysis based on experiences at a quaternary academic medical center. J Am Coll Surg, 2016, 222(3): 219-225.
34.	陳俊強, 柳思雨. 加速康復外科臨床實踐爭議問題與思考. 中國普外基礎與臨床雜志, 2019, 26(11): 1273-1277.

1. 唐齊鑫, 魯鋒, 徐飛, 等. 我國衛生資源配置公平性與效率分析. 現代預防醫學, 2018, 45(6): 1043-1047.
2. 周明華, 肖政. 我國衛生資源配置狀況及公平性分析. 中國社會醫學雜志, 2019, 36(2): 193-196.
3. 雷鵬, 馮志昕, 丁荊妮, 等. 中國醫療資源配置與服務利用現狀評價. 衛生經濟研究, 2019, 36(5): 50-55.
4. 翁艷翎, 陶嵐, 陳麗方, 等. 國內外護理人力資源效率指標的研究進展. 護理研究, 2019, 33(12): 2049-2052.
5. Bekker R, Koole G, Roubos D. Flexible bed allocations for hospital wards. Health Care Manag Sci, 2017, 20(4): 453-466.
6. Ferreira DC, Nunes AM, Marques RC. Doctors, nurses, and the optimal scale size in the portuguese public hospitals. Health Policy, 2018, 122(10): 1093-1100.
7. 李卡, 楊婕, 胡艷杰, 等. 加速康復外科模式在國內外應用的評價指標研究進展. 中國普外基礎與臨床雜志, 2018, 25(5): 629-634.
8. 孫慧慧, 邵珂, 張娜, 等. 基于三維質量結構模式普外科加速康復護理質量評價指標體系的構建. 護理學報, 2019, 26(23): 29-33.
9. Guindo LA, Wagner M, Baltussen R, <italic>et al</italic>. From efficacy to equity: literature review of decision criteria for resource allocation and healthcare decisionmaking. Cost Eff Resour Alloc, 2012, 10(1): 9.
10. Charnes A, Cooper WW, Rhodes E. Measuring the efficiency of decision making units. European J Operational Research, 1978, 2(6): 429-444.
11. 魏權齡. 數據包括分析(DEA). 科學通報, 2000, 45(17): 1793-1808.
12. 楊國斌, 李永昌, 陳莉, 等. 一項臨床技術革命引發的醫學倫理學思考—基于 ERAS 的探討. 醫學與哲學, 2017, 38(10A): 31-33, 46.
13. 莊英, 段霞, 施雁, 等. 基于 ERAS 理念開展日間手術科室責任護士工作體驗的質性研究. 中國實用護理雜志, 2019, 35(20): 1533-1537.
14. Hübner M, Addor V, Slieker J, <italic>et al</italic>. The impact of an enhanced recovery pathway on nursing workload: a retrospective cohort study. Int J Surg, 2015, 24(Pt A): 45-50.
15. 王斌, 王琳, 李萍, 等. 基于三維質量結構模式 PICU 護理敏感性質量指標體系的構建. 護理學報, 2019, 26(1): 17-21.
16. 王霄霄, 方秀新, 呂小芹, 等. 加速康復外科護理人力資源配置研究. 護理學雜志, 2018, 33(13): 46-49.
17. 陳潔. 快速康復外科理念在手術室服務流程再造中的應用. 護士進修雜志, 2018, 33(7): 664-667.
18. 王剛, 江志偉. 加速康復外科推廣過程中面臨的挑戰與對策. 山東大學學報: 醫學版, 2019, 57(9): 24-27, 37.
19. Dohan D, Schrag D. Using navigators to improve care of underserved patients: current practices and approaches. Cancer, 2005, 104(4): 848-855.
20. 楊艷英, 楊靜, 勾馮茜. 導航護士在加速康復外科中的作用: 以腹腔鏡肝切除圍手術期為例. 中國衛生質量管理, 2020, 27(2): 19-22.
21. 徐虹霞, 潘紅英, 王宏偉, 等. 加速康復外科實施過程中導航護士角色的設立及實踐. 中華護理雜志, 2017, 52(5): 530-534.
22. 申海燕, 羅迎霞, 吳偉霞, 等. 泌尿外科快速周轉病區的建立與管理. 護理學雜志, 2016, 31(12): 68-70.
23. 王霄霄, 方秀新, 鄭春輝, 等. 基于零缺陷管理理論構建肝膽外科加速康復評價指標體系. 護理學雜志, 2019, 34(10): 8-11.
24. 王恒, 范軍, 薛典富, 等. 循環水床墊保溫在胃腸癌患者加速康復外科中的應用效果. 安徽醫學, 2019, 40(7): 793-795.
25. 孫倩, 徐宏濤. 公立醫院實施加速康復外科成本管理的研究. 現代醫院, 2018, 18(8): 1151-1154.
26. 汪曉東, 安麗珉, 李立. 數據庫研究第二部分: 結直腸癌的住院流程管理. 中國普外基礎與臨床雜志, 2019, 26(4): 469-475.
27. Johnston A, McCutcheon C, Renwick A, <italic>et al</italic>. PWE-414 A designated eras nurse consistently achieves eras goals with significant cost reductions for the nhs. Gut, 2015, 64: A391-A392.
28. 李卡, 胡艷杰, 劉雨薇, 等. 加速康復外科應用于結直腸癌根治術圍手術期管理的效果研究. 中華結直腸疾病電子雜志, 2018, 7(3): 288-293.
29. Miller TE, Thacker JK, White WD, <italic>et al</italic>. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg, 2014, 118(5): 1052-1061.
30. 唐星明, 唐劉蘊泉, 黎介壽. 加速康復外科理念提升醫院管理能力. 中華醫院管理雜志, 2017, 33(1): 72-74.
31. King AB, Spann MD, Jablonski P, <italic>et al</italic>. An enhanced recovery program for bariatric surgical patients significantly reduces perioperative opioid consumption and postoperative nausea. Surg Obes Relat Dis, 2018, 14(6): 849-856.
32. 李菁. 京津冀醫療衛生資源配置現狀與效率的研究. 石家莊: 河北經貿大學, 2018.
33. Stone AB, Grant MC, Roda CP, <italic>et al</italic>. Implementation costs of an enhanced recovery after surgery program in the united states: a financial model and sensitivity analysis based on experiences at a quaternary academic medical center. J Am Coll Surg, 2016, 222(3): 219-225.
34. 陳俊強, 柳思雨. 加速康復外科臨床實踐爭議問題與思考. 中國普外基礎與臨床雜志, 2019, 26(11): 1273-1277.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Progress in evaluation index of health resource utilization efficiency in enhanced recovery after surgery

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