【摘要】 目的 为进一步提升医疗服务效率和优化医疗资源配置，医院构建了基于预住院结合日间手术的一站式医疗服务的新型就诊模式。方法 自2022年8月起，以广州市某三甲医院为实践载体，构建多维度协同机制：(1)流程重组：建立标准化流程，通过“检查前置+信息互通”实现术前检验、检查、麻醉评估等环节前移至预住院阶段；(2)资源整合：组建一站式医疗服务中心部门为全方位服务协调中心，集缴纳押金、检查预约、检验、检查、床位调度及“一键式入院”为一体式诊疗服务链；(3)管理闭环：建立“门诊就诊评估-预住院检验检查-日间手术麻醉评估-逆转门诊就诊-住院治疗或日间手术治疗-住院后或术后随访”就诊闭环流程。结果 实施三年来，2024年较2022年比较：全院的出院人数增多3万多人次，择期术前平均住院日降低了0.4 d,病床使用率提升了10.72%,病床周转次数提高了10.86%,患者满意度提升至94%左右。结论 该模式通过流程重组、资源整合和闭环管理，有效提升床位周转率和加快病床使用率，降低术前平均住院日，形成可推广的精细化管理范式，为提升医疗服务同质化水平提供实践依据，兼具社会效益与运营价值。更多还原

【Abstract】 Objective To enhance medical service efficiency and optimize healthcare resource utilization, our hospital developed a novel one-stop integrated medical service model combining pre-hospitalization with day surgery. Methods Starting in August 2022, a Class A Tertiary Hospital in Guangzhou implemented a multi-dimensional collaborative mechanism: 1. Process reengineering: Standardized workflows shifted preoperative tests and anesthesia evaluations to pre-hospitalization. 2. Resource integration: Established a one-stop medical service center as a comprehensive service coordination hub, integrating deposit payment, examination scheduling, testing, medical check-ups, bed allocation, and “one-click admission” into a unified diagnostic and treatment service chain. 3. Closed-loop management: Streamlined workflow from outpatient evaluation to follow-up. Results By 2024 vs 2022: Increased annual discharges by 30,000+ cases. Reduced preoperative hospitalization by 0.4 days. Improved bed occupancy(+10.72%) and turnover(+10.86%). Achieved 94% patient satisfaction. Conclusion This model enhances bed efficiency, reduces hospitalization delays, and offers a scalable framework for healthcare optimization, demonstrating both social and operational benefits.更多还原