IMPROVING THE WORK OF A DAY HOSPITAL IN A CITY POLYCLINIC IN PROVIDING ORTHOPEDIC CARE TO CHILDREN
Keywords:
day hospital, orthopedic care, healthcare organization.Abstract
Introduction. Improving daycare is important to increase the availability and quality of orthopedic care for children, which is necessary in the context of the growing number of orthopedic diseases among children.
Goal. To study the feasibility and economic importance of developing orthopedic services in day surgery in urban settings.
Material and methods. An analytical study and questionnaire of the parents of patients were conducted to determine the quality and economic benefits of the day hospital versus the round-the-clock hospital at the city children's hospital from 2022 to 2024.
Results. A comparative analysis of the cost of treatment in a day hospital was carried out, which turned out to be significantly lower than in a round-the-clock hospital, which made it possible to redistribute budget funds and increase the availability of care for a larger number of patients. Long-term regional blockades have allowed it to expand the range of operations, minimize postoperative complications, and reduce the need for inpatient hospitalization.
Discussion. The trend of one-day surgery shows economic benefits and requires the timely introduction of modern minimally invasive surgery methods. The dynamic development of minimally invasive surgery will tend to increase the number of operations in a day hospital, requiring improving the quality of day hospital work. Special attention should be paid to developing regional anesthesia and general anesthesiology in day hospitals.
Conclusions. Small surgical interventions were mainly performed to develop orthopedic services in the day hospital, such as removing soft tissue formations and metal structures from small bones (collarbone, forearm, hand, ankle). The development of the orthopedic field is parallel to the development of anesthesiologic care in the day hospital, which allowed for the introduction of more complex operations. The use of modern anesthetics promotes rapid recovery of patients and reduces the need for long-term postoperative observation.
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