Reducing hospital stays lengths and adoptions of outpatient surgery are the results of a policy of controlled hospital costs, improving quality of care and greater patient comfort. We conducted a retrospective study of the files of the patients operated at surgery department A of CHU Hassan II of Fès. This study concerned patients having hernial, lithiasic or proctologic pathologies over 4 years from may 2009 to may 2012 Over 4 years, 2171 patients were operated at the central operating unit, 270 among them were ambulatory cases. the hospital stay of the lithiasic blister, hernia and proctologie is respectively 7, 35 days, 5, 10 days and 1day, wish remains far from figures marked in Western countries where these pathologies were practiced in ambulatory in more than 60 % of the cases. This difference is explained by the absence of politic in helth economy, but also lack of motivation of medical and ancillary medical staff for the practice of this kind of surgery which requires both organization and motivation. The contribution of the various stakeholders (government, health professionals and patients) with the establishment of a circuit ambulatory surgery (pre-anesthetic assessments, admissions office and billing consultation, hospital and operating room) in our context is synonymous with a new management culture in health spending.
| Référence | 1336 |
| Année | 2014 |
| Type | Thèse |
| Lien document | |
| Auteur | Aarab S |
| Discipline | Chirurgie viscérale A |
| Encadrant | Benjelloun B |
