Analysis of the disease entities and typical characteristics of day surgery -based on three Public Tertiary A hospitals in China

Background: Although the number of medical facilities in China that perform day surgeries is rapidly rising, little research has been done on the current state of day surgery performance and patient distribution. This thesis focuses on three more developed tertiary general hospitals in different parts of China where day surgery has been performed in the past. These hospitals offer a wider variety of day surgery procedures, and are located in areas that are more developed. Other medical facilities will benefit from the study's hands-on experience with day surgery. Methods: : 67,337 valid items of data were retrieved from Hospital Information Systems of the three hospitals. In this thesis, descriptive analysis was carried out on basic information about day surgery patients, including composition of patients' major diseases, hospitalization costs. Nonparametric tests were used to compare the data in each group, and the mean standard deviation (x±s) was used to show the trend in the concentration of the relevant indicators. The difference was considered statistically significant at P<0.05. Results: : The largest proportion of day surgery patients are between the ages of 51 and 70. About 57.30% of day surgery patients pay for their medical care with the basic medical insurance of urban employees. Senile cataract, benign breast tumor, and endometrial polyp are the top three major diagnoses of day surgery patients. The cost of consumables accounted for approximately 46.01 percent of the total hospitalization cost for day surgery patients, followed by the cost of treatment, which accounted for approximately 31.01 percent of the total cost. Conclusions: : The majority of day surgery patients are middle-aged and elderly, with fewer children and seniors over 80. The payment system for day surgery that is supported by medical insurance needs to be improved. While each hospital has its own characteristics, the majority of day surgery patients are afflicted with ophthalmic, breast, and reproductive system conditions. The majority of day surgery procedures are secondary and tertiary procedures; the more challenging procedures continue to be primarily general inpatient procedures. Day surgery's development has positive effects on society and the economy.