Assessing the efficiency of using medical and economic standards when treating surgical patients in day hospitals

Abstract

Studying the issues of improving the outpatient surgery in a megalopolis based on standardization is essential both for practical healthcare and medical science. In order to increase the quality and accessibility of surgical treatment, as well as to reduce the cost of treatment and post-operative rehabilitation, medical and economic standards were introduced at Shymkent Municipal Center of Outpatient Surgery in 2016, as a part of the National Healthcare Program. Also, day hospitals were organized for treatment and post-operative rehabilitation of surgical ambulatory patients. The training to increase the doctors’ qualification and their knowledge of medical and economic standards was carried out at South Kazakhstan Medical Academy. The efficiency of using medical and economic standards at day hospitals was assessed with indices based on medical, social and economic criteria. The data was taken from statistical records of attendance and clinical protocols of treatment. Respondents’ opinions were studied with a poll. The research showed that after introduction of the medical and economic standards the doctors’ payment increased depending on the medical efficiency and quality of treatment and post-operative rehabilitation of surgical ambulatory patients; the levels of incidence with temporary and permanent disability decreased, and the time of patients’ staying in hospital reduced.