Medbery Rachel L, Force Seth D
Section of General Thoracic Surgery, The Emory Clinic, Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, 1365 Clifton Road, Northeast, Building A, Atlanta, GA 30322, USA.
Section of General Thoracic Surgery, The Emory Clinic, Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, 1365 Clifton Road, Northeast, Building A, Atlanta, GA 30322, USA.
Thorac Surg Clin. 2017 Aug;27(3):267-277. doi: 10.1016/j.thorsurg.2017.03.006. Epub 2017 May 22.
The value of health care is defined as health outcomes (quality) achieved per dollars spent (cost). The current national health care landscape is focused on minimizing spending while optimizing patient outcomes. With the introduction of minimally invasive thoracic surgery, there has been concern about added cost relative to improved outcomes. Moreover, differences in postoperative hospital care further drive patient outcomes and health care costs. This article presents a comprehensive literature review on quality and cost in thoracic surgery and aims to investigate current challenges with regard to achieving the greatest value for our patients.
医疗保健的价值被定义为每花费一美元所实现的健康结果（质量）。当前的国家医疗保健格局侧重于在优化患者结果的同时尽量减少支出。随着微创胸外科手术的引入，人们担心相对于改善的结果会增加成本。此外，术后医院护理的差异进一步影响患者结果和医疗保健成本。本文对胸外科手术的质量和成本进行了全面的文献综述，旨在探讨在为我们的患者实现最大价值方面当前面临的挑战。
