围手术期外科之家：观点二。

Perioperative Surgical Home: Perspective II.

作者信息

Vetter Thomas R, Jones Keith A

机构信息

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, JT862, 619 19th Street South, Birmingham, AL 35249, USA.

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, JT804, 619 19th Street South, Birmingham, AL 35249, USA.

出版信息

Anesthesiol Clin. 2015 Dec;33(4):771-84. doi: 10.1016/j.anclin.2015.07.002.

DOI:10.1016/j.anclin.2015.07.002

PMID:26610629

Abstract

Healthcare delivery and payment systems in the United States must continue to be reformed to address currently untenably increasing healthcare expenditures, while increasing the quality of care. The Perioperative Surgical Home is a highly patient-centered approach to care, focusing on the standardization, coordination, transitions, and value of care, throughout the perioperative continuum, including after hospital discharge. To increase the value of surgical care, any Perioperative Surgical Home model must translate, implement, and sustain improvements in quality, safety, and satisfaction, plus cost reduction strategies, throughout the perioperative continuum. Healthcare informatics, analytics, decision support, and practice change are central to this effort.

摘要

美国的医疗服务提供和支付系统必须持续改革，以应对当前难以承受的医疗费用增长，同时提高医疗质量。围手术期手术之家是一种高度以患者为中心的护理方法，专注于围手术期连续过程（包括出院后）中护理的标准化、协调、过渡和价值。为了提高手术护理的价值，任何围手术期手术之家模式都必须在围手术期连续过程中转化、实施并维持质量、安全和满意度的提升，以及成本降低策略。医疗信息学、分析、决策支持和实践变革是这项工作的核心。