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目的评价微创技术及医保有关单病种政策实施对缩短平均住院日的影响。方法回顾性研究,通过针对子宫肌瘤是否使用腔镜技术的数据进行平均住院日分析,对比应用腔镜手术平均住院日的变化,分析微创手术实施对某一病种平均住院日的影响。结果 2003年-2008年北京市医疗保险子宫平滑肌瘤患者使用腔镜手术平均住院天数比未使用腔镜的手术下降2.3天。结论通过微创技术的使用及医疗保险付费政策的调整可以降低平均住院日。
Objective To evaluate the effect of minimally invasive techniques and the implementation of policies on single-disease-related diseases to shorten the average length of stay. Methods A retrospective study was conducted to analyze the average length of stay in patients with uterine fibroids by using the endoscopic technique. The average length of stay at endoscopic surgery was compared with that of minimally invasive surgery. The mean length of stay was analyzed. Results In 2003-2008, the average duration of hospitalization for endoscopic surgery in patients with uterine leiomyomata in medical insurance in Beijing was 2.3 days lower than that without endoscopic surgery. Conclusions The average length of stay can be reduced through the use of minimally invasive techniques and the adjustment of medical insurance policy.