SWOT model analysis and innovative strategies for high quality development of pediatric day-care surgery in comprehensive hospitals_West China Medical Journal

Authors：

HAN Juqiang ¹ , HAO Xuemei ¹ , ZHOU Huixia ² , YAN Hua ³ ,  CHEN Ruxue ³

1. Department of Ambulatory Medicine, Seventh Center of PLA General Hospital, Beijing 100700, P. R. China;
2. Faculty of Pediatrics, Seventh Center of PLA General Hospital, Beijing 100700, P. R. China;
3. Department of Health Service, Seventh Center of PLA General Hospital, Beijing 100700, P. R. China;

Corresponding author：

CHEN Ruxue, Email: crx67330@126.com

Keywords：

Pediatric day-care surgery; high-quality development; SWOT model; innovation strategy

DOI：

10.7507/1002-0179.202503109

Video：

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The developing status of pediatric day-care surgery is comprehensively analyzed based on SWOT model from the following four dimensions: strength (S), weakness (W), opportunities (O) and threats (T). Day-care surgery strategy is in line with the characteristics of pediatric diseases, which can improve medical efficiency and reduce medical costs. However, it is limited by both the particularity of pediatric patients and the complexity of postoperative management. In terms of external environment at present, there are many opportunities for its development of day-care surgery such as national policy support, medical technology innovation, and regional medical center construction. Nevertheless, some threats cannot yet be ignored such as medical safety risks, unfair resource allocation, traditional habit of medical treatment and medical insurance payment policies. In order to promote the high-quality development of pediatric day-care surgery in the future, it is recommended to innovate medical service models, improve medical quality management systems, train medical qualified personnel, and enhance national policy support.

Citation： HAN Juqiang, HAO Xuemei, ZHOU Huixia, YAN Hua, CHEN Ruxue. SWOT model analysis and innovative strategies for high quality development of pediatric day-care surgery in comprehensive hospitals. West China Medical Journal, 2025, 40(6): 954-959. doi: 10.7507/1002-0179.202503109 Copy

1.	Jebraeily M, Naji S, Nourani A. Strengths, weaknesses, opportunities, and threats (SWOT) of the electronic prescribing systems executed in Iran from the physician’s viewpoint: a qualitative study. BMC Med Inform Decis Mak, 2024, 24(1): 279.
2.	蔡玉洁, 郑丽娜, 董佳宜, 等. 后疫情时代集中式日间诊疗管理模式感染控制对策. 中国消毒学杂志, 2022, 39(6): 476-478.
3.	韩聚强, 郑丽娜, 朱玲玲, 等. 北京市部分综合性“三甲”医院日间诊疗运营模式调研分析与思考. 解放军预防医学杂志, 2020, 38(11): 17-19.
4.	李海峰, 易蕊, 王新玲, 等. 军队综合性大型医院日间诊疗运营模式探讨及意义. 解放军预防医学杂志, 2020, 38(7): 15-16.
5.	Kumar R, Choudhury SR, Yadav PS, et al. an analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India. J Indian Assoc Pediatr Surg, 2021, 26(3): 148-152.
6.	薛传真. 刘俊宏访谈: “入院+手术+出院”一天搞定——重医附属儿童医院日间手术高效、安全且舒适. 华龙网, 2024-04-12.
7.	吕成杰, 胡书奇, 陈锐, 等. 婴儿肥厚性幽门狭窄日间手术模式的临床探索. 临床小儿外科杂志, 2022, 21(3): 258-264.
8.	王志伟, 张黄成昊, 姚桂萍, 等. 小儿腹股沟斜疝及鞘膜积液日间手术疗效与卫生经济学评价. 临床小儿外科杂志, 2024, 23(10): 910-917.
9.	吕堃, 王语, 金鑫, 等. 小儿隐睾日间手术与专科住院手术卫生经济学评价. 华西医学, 2020, 7(5): 170-175.
10.	刘超群, 朱波, 申乐, 等. 小儿日间手术术后管理进展. 协和医学杂志, 2021, 12(6): 999-1003.
11.	舒凡珂, 冯黎维, 邓娜, 等. 心理及信息支持对日间短小手术患儿家属心理状态、认知功能及满意度的影响. 中国健康心理学杂志, 2019, 27(2): 240-243.
12.	国家卫生健康委办公厅, 国家发展改革委办公厅, 教育部办公厅, 等. 关于开展儿童友好医院建设的意见. 中华人民共和国国家卫生健康委员会公报, 2024(12): 16-23.
13.	马敬伟, 卞红强, 段栩飞, 等. 小儿日间手术安全性分析. 中华小儿外科杂志, 2020, 41(8): 704-709.
14.	鲍益耀, 胡书奇, 黄寿奖. 中国小儿日间手术发展的基本现状调查与思考. 中华小儿外科杂志, 2020, 41(8): 692-697.
15.	谢周龙龙, 李倩, 张蓉, 等. 加速康复外科理念在儿科日间手术围术期的应用. 中国卫生质量, 2021, 28(12): 1-4.
16.	杨杪, 袁琳, 贺焜, 等. 国家儿童医学中心专科联盟建设的创新探索与实践. 现代医院管理, 2023, 21(1): 1-4.
17.	de Luca U, Mangia G, Tesoro S, et al. Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI). Ital J Pediatr, 2018, 44(1): 35-45.
18.	Tudor-Drobjewski BA, Marhofer P, Kimberger O, et al. Randomised controlled trial comparing preoperative carbohydrate loading with standard fasting in paediatric anaesthesia. Br J Anaesth, 2018, 121(3): 656-661.
19.	中华医学会小儿外科学分会内镜外科学组. 小儿外科日间手术专家共识. 中华小儿外科杂志, 2020, 41(8): 676-682.
20.	Kerimaa H, Hakala M, Haapea M, et al. The preparation of children for day surgery from the parent’s viewpoint: a mixed methods study. Nurs Open, 2024, 11(3): e2121.
21.	邵慧丽. 日间手术+临床路径诊疗模式与 DRGs 支付分析. 中国卫生统计, 2020, 37(5): 752-754.
22.	徐桂容, 柏斗胜, 王霄霖, 等. 基于智慧信息大数据平台助推全院日间手术服务高质量发展. 华西医学, 2023, 38(2): 278-283.
23.	褚元豪, 吴璇昭. 加速康复外科在小儿外科的临床应用. 中国全科医学, 2021, 24(增刊 2): 238-241.

1. Jebraeily M, Naji S, Nourani A. Strengths, weaknesses, opportunities, and threats (SWOT) of the electronic prescribing systems executed in Iran from the physician’s viewpoint: a qualitative study. BMC Med Inform Decis Mak, 2024, 24(1): 279.
2. 蔡玉洁, 郑丽娜, 董佳宜, 等. 后疫情时代集中式日间诊疗管理模式感染控制对策. 中国消毒学杂志, 2022, 39(6): 476-478.
3. 韩聚强, 郑丽娜, 朱玲玲, 等. 北京市部分综合性“三甲”医院日间诊疗运营模式调研分析与思考. 解放军预防医学杂志, 2020, 38(11): 17-19.
4. 李海峰, 易蕊, 王新玲, 等. 军队综合性大型医院日间诊疗运营模式探讨及意义. 解放军预防医学杂志, 2020, 38(7): 15-16.
5. Kumar R, Choudhury SR, Yadav PS, et al. an analysis of safety and efficacy of day-care surgery in children in a tertiary care hospital in India. J Indian Assoc Pediatr Surg, 2021, 26(3): 148-152.
6. 薛传真. 刘俊宏访谈: “入院+手术+出院”一天搞定——重医附属儿童医院日间手术高效、安全且舒适. 华龙网, 2024-04-12.
7. 吕成杰, 胡书奇, 陈锐, 等. 婴儿肥厚性幽门狭窄日间手术模式的临床探索. 临床小儿外科杂志, 2022, 21(3): 258-264.
8. 王志伟, 张黄成昊, 姚桂萍, 等. 小儿腹股沟斜疝及鞘膜积液日间手术疗效与卫生经济学评价. 临床小儿外科杂志, 2024, 23(10): 910-917.
9. 吕堃, 王语, 金鑫, 等. 小儿隐睾日间手术与专科住院手术卫生经济学评价. 华西医学, 2020, 7(5): 170-175.
10. 刘超群, 朱波, 申乐, 等. 小儿日间手术术后管理进展. 协和医学杂志, 2021, 12(6): 999-1003.
11. 舒凡珂, 冯黎维, 邓娜, 等. 心理及信息支持对日间短小手术患儿家属心理状态、认知功能及满意度的影响. 中国健康心理学杂志, 2019, 27(2): 240-243.
12. 国家卫生健康委办公厅, 国家发展改革委办公厅, 教育部办公厅, 等. 关于开展儿童友好医院建设的意见. 中华人民共和国国家卫生健康委员会公报, 2024(12): 16-23.
13. 马敬伟, 卞红强, 段栩飞, 等. 小儿日间手术安全性分析. 中华小儿外科杂志, 2020, 41(8): 704-709.
14. 鲍益耀, 胡书奇, 黄寿奖. 中国小儿日间手术发展的基本现状调查与思考. 中华小儿外科杂志, 2020, 41(8): 692-697.
15. 谢周龙龙, 李倩, 张蓉, 等. 加速康复外科理念在儿科日间手术围术期的应用. 中国卫生质量, 2021, 28(12): 1-4.
16. 杨杪, 袁琳, 贺焜, 等. 国家儿童医学中心专科联盟建设的创新探索与实践. 现代医院管理, 2023, 21(1): 1-4.
17. de Luca U, Mangia G, Tesoro S, et al. Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI). Ital J Pediatr, 2018, 44(1): 35-45.
18. Tudor-Drobjewski BA, Marhofer P, Kimberger O, et al. Randomised controlled trial comparing preoperative carbohydrate loading with standard fasting in paediatric anaesthesia. Br J Anaesth, 2018, 121(3): 656-661.
19. 中华医学会小儿外科学分会内镜外科学组. 小儿外科日间手术专家共识. 中华小儿外科杂志, 2020, 41(8): 676-682.
20. Kerimaa H, Hakala M, Haapea M, et al. The preparation of children for day surgery from the parent’s viewpoint: a mixed methods study. Nurs Open, 2024, 11(3): e2121.
21. 邵慧丽. 日间手术+临床路径诊疗模式与 DRGs 支付分析. 中国卫生统计, 2020, 37(5): 752-754.
22. 徐桂容, 柏斗胜, 王霄霖, 等. 基于智慧信息大数据平台助推全院日间手术服务高质量发展. 华西医学, 2023, 38(2): 278-283.
23. 褚元豪, 吴璇昭. 加速康复外科在小儿外科的临床应用. 中国全科医学, 2021, 24(增刊 2): 238-241.

West China Medical Journal

SWOT model analysis and innovative strategies for high quality development of pediatric day-care surgery in comprehensive hospitals

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