围手术期医学：麻醉的价值主张？：英国对麻醉学价值交付的观点。
Perioperative Medicine: The Value Proposition for Anesthesia?: A UK Perspective on Delivering Value from Anesthesiology.
作者信息
Grocott Michael P W, Mythen Michael G
机构信息
Integrative Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton / Anaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation Trust / Southampton NIHR Respiratory Biomedical Research Centre, University of Southampton, Room CE.93, Mailpoint 24, Tremona Road, Southampton, Hampshire SO16 6YD, UK; NIAA Health Services Research Centre, Royal College of Anaesthetists, Red Lion Square, London, WC1R 4SG, UK; UCLH Surgical Outcomes Research Centre / UCLH/UCL NIHR Biomedical Research Centre, London, University College London Hospitals NHS Foundation Trust, 149 Tottenham Court Road, London, W1T 7DN, UK.
NIAA Health Services Research Centre, Royal College of Anaesthetists, Red Lion Square, London, WC1R 4SG, UK; UCLH Surgical Outcomes Research Centre / UCLH/UCL NIHR Biomedical Research Centre, London, University College London Hospitals NHS Foundation Trust, 149 Tottenham Court Road, London, W1T 7DN, UK; Centre for Anaesthesia, UCL, Gower Street, London, WC1E 6BT, UK.
出版信息
Anesthesiol Clin. 2015 Dec;33(4):617-28. doi: 10.1016/j.anclin.2015.07.003.
Perioperative medicine describes the practice of patient centered, multidisciplinary, and integrated medical care of patients from the moment of contemplation of surgery until full recovery. The value proposition for perioperative medicine rests on defining benefits that outweigh the costs of change. This article discusses the concept of value in the context of healthcare and highlights a number of reasons for relative market failure. Five key opportunities for adding value in the perioperative journey are suggested: collaborative decision-making, lifestyle modification before surgery, standardization of in-hospital perioperative care, achieving full recovery after surgery, and the use of data for quality improvement.
围手术期医学描述了从考虑手术到完全康复期间，以患者为中心、多学科且综合的医疗护理实践。围手术期医学的价值主张基于确定收益大于变革成本。本文在医疗保健背景下讨论了价值概念，并强调了相对市场失灵的一些原因。文中提出了围手术期过程中增加价值的五个关键机会：共同决策、术前生活方式调整、住院围手术期护理标准化、术后实现完全康复以及利用数据进行质量改进。
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