| Abstract |
With the operation of the DRG payment model, most patients in ophthalmology will implement the daytime surgery mode. Day surgery refers to the hospitalization mode in which patients need to be treated in hospital for several days by optimizing the diagnosis and treatment process and implementing accelerated rehabilitation surgery (enhanced recovery after surgery, ERAS) strategy in the perioperative period to complete the admission, surgery and discharge process within 1 day (24 h). The development of day surgery service mode is conducive to reducing social medical costs, alleviating the shortage of medical resources, optimizing the medical process of patients, and improving the satisfaction of the masses. With the development of anesthesiology and surgical techniques, especially the extensive development of minimally invasive surgery and the progress of perioperative management concept, the service mode and concept of day surgery have been widely accepted. When the outpatient department of our hospital passes the doctors evaluation, those who meet the conditions of day surgery should improve the preoperative examination before the hospital, make an appointment for the operation date, and be hospitalized in the day ward on the day of the surgery. After the surgeon or the chief physician, they can be discharged on the same day or the next day. This mode makes it convenient for patients to be hospitalized and save medical resources. However, at the same time, due to the short hospitalization time, the contact time between medical care and patients is only a few hours, and a series of matters such as admission evaluation, preoperative communication, surgery, and discharge procedures are completed within the limited time, resulting in insufficient doctor-patient communication, poor medical experience, and low satisfaction. Patient satisfaction is an important assessment index to optimize the performance appraisal system of public hospitals and improve the quality and level of medical service, so it is of great significance to improve the satisfaction of patients in day surgery. In order to improve patients medical experience and satisfaction, our department has optimized the daytime surgery process, enriched the forms of health education, improved daytime surgery nursing records, and provided follow-up continuity care, etc. The patient satisfaction score increased from 83.70 ± 13.438 to 95.91 ± 10.658, and the difference was statistically significant (P <0.05). This quality improvement activity improved patient satisfaction and improved patients medical experience.
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