Resumen

CHIRIGLIANO, Gilda Verónica  y  NOCETI, María Cristina. Planificación de una unidad de cirugía del día. Rev. Méd. Urug. [online]. 2004, vol.20, n.1, pp.19-31. ISSN 1688-0390.

Summary A plan to set in a day surgeon unit (UCD) of the Centro de Asistencia del Sindicato Médico del Uruguay (CASMU), located in the Sanatorio 1, a 107 bed-hospital, which is part of a network of CASMU hospitals (462 beds). So far, there have no been surgical units organized like this proposal. The aim of the UCD is to apply an ambulatory way of surgical assistance in order to reach high quality in the service and to reduce costs by means of decreasing stay-in hospital. The objective is to modify the organization of the current surgical block and to install a new area of day assistance for selected operations. The general plan includes hospital indicators, surgical indicators, use of beds and projections of this new type of surgical assistance. The operational plan is analized in its different compounds: general strategy, organization, activity timetable, assessment. The plan implies a variation in the management of surgical hospitalarian services and shows satisfactory results on institutional surgical activity in terms of cost-effectiveness, quality and satisfaction of patients. This national experience visualizes the oncoming development of the model according to pathologies and techniques to be considered.

Palabras clave : PROCEDIMIENTOS QUIRURGICOS AMBULATORIOS; ADMINISTRACION DE LOS SERVICIOS DE SALUD.

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