Feng James E, Novikov David, Anoushiravani Afshin A, Schwarzkopf Ran
Division of Adult Reconstructive Surgery, NYU Langone Orthopedics, NYU Langone Health, New York, NY, USA.
J Multidiscip Healthc. 2018 Jan 25;11:63-73. doi: 10.2147/JMDH.S140550. eCollection 2018.
Total knee arthroplasty (TKA) is the most commonly performed inpatient surgical procedure within the USA and is estimated to reach 3.48 million procedures annually by 2030. As value-based care initiatives continue to focus on hospital readmission rates and patient satisfaction, it has become essential for health care providers to develop and implement a multidisciplinary approach to enhance TKA outcomes while minimizing unnecessary expenditures. Through this necessity, clinical care pathways have been developed to standardize, organize, and improve the quality and efficiency of patient care while simultaneously encouraging the collaboration among various medical care providers. Here, we review several systems based programs and specialty care practices that can be adopted into the standard orthopedic practice.
全膝关节置换术（TKA）是美国最常实施的住院外科手术，预计到2030年每年将达到348万例。随着基于价值的医疗举措继续关注医院再入院率和患者满意度，医疗保健提供者制定并实施多学科方法以提高TKA疗效同时尽量减少不必要的支出已变得至关重要。基于这种必要性，已制定临床护理路径以规范、组织并提高患者护理的质量和效率，同时鼓励各医疗服务提供者之间的协作。在此，我们回顾了几种可纳入标准骨科实践的基于系统的项目和专科护理实践。
