Practice of daytime surgery management at a tertiary general hospital based on the incentive compatibility theory
10.3760/cma.j.cn111325-20230510-00380
- VernacularTitle:基于激励相容理论的三级综合医院日间手术管理实践
- Author:
Sihua LI
1
;
Wuzhao CHEN
;
Yongzhuo LU
;
Chunlan WU
;
Xiaofeng FAN
Author Information
1. 广西医学科学院医院管理与医防协同创新研究所，南宁 530021
- Keywords:
Practice management, medical;
Daytime surgery;
Incentive compatibility theory;
Incentives;
Constraints;
Tertiary general hospital
- From:
Chinese Journal of Hospital Administration
2023;39(11):821-825
- CountryChina
- Language:Chinese
-
Abstract:
Under the background of performance evaluation in nationwide tertiary public hospitals and the DRGs reform, how to improve the efficiency of daytime surgery management is becoming a hotspot for hospital managers. Since July 2020, a tertiary general hospital applied the theory of incentive compatibility to guide the medical workers to consciously strive to achieve such management goals as improving the quantity and quality of daytime surgeries by constructing an organizational management system, increasing performance rewards for daytime surgical teams, rewarding advanced collectives and individuals, convening work coordination and promotion meetings, formulating penalty terms, and strengthening supervision of surgical quality and safety indicators. The implementation rate of daytime surgery in hospitals, the number of departments conducting daytime surgery, the number of covered diseases, and the satisfaction rate of inpatients had increased from 6.94%, 6 departments, 64 diseases, and 90.5% in 2019 to 24.08%, 21 departments, 125 diseases, and 95.0% in 2022, respectively. The incidence of daytime surgical bleeding, and readmissions within 15 days decreased from 0.6% and 0.5% in 2019 to 0.5% and 0.2% in 2022, respectively. The theory of incentive compatibility was in line with the development goals of daytime surgery in China, providing an optimal strategy for improving the management efficiency of daytime surgery according to local conditions.
