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肩关节置换术中的量-值关系

The Volume-Value Relationship in Shoulder Arthroplasty.

作者信息

Ramkumar Prem N, Haeberle Heather S, Iannotti Joseph P, Ricchetti Eric T

机构信息

Cleveland Clinic, Department of Orthopaedic Surgery, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Baylor College of Medicine, Department of Orthopaedic Surgery, 7200 Cambridge Street, Houston, TX 77030, USA.

出版信息

Orthop Clin North Am. 2018 Oct;49(4):519-525. doi: 10.1016/j.ocl.2018.05.012. Epub 2018 Aug 16.

Abstract

Improving value in shoulder arthroplasty has gained increasing importance as procedure volume increases. To enhance the value of shoulder arthroplasty, an improvement of outcomes or a decrease in associated costs must occur. With the recent shift to a value-based care delivery model, analysis of the effects of surgical volume presents an opportunity to improve outcomes and reduce costs in shoulder arthroplasty. There are multiple reports in the literature expanding on the relationship between increased surgeon and hospital procedure volume and increased value for shoulder arthroplasty, by way of improved outcomes or decreased cost. This article highlights these studies.

摘要

随着肩关节置换手术量的增加,提高其价值变得越来越重要。为了提高肩关节置换术的价值,必须改善手术效果或降低相关成本。随着最近向基于价值的医疗服务模式的转变,分析手术量的影响为改善肩关节置换术的效果和降低成本提供了机会。文献中有多篇报道阐述了外科医生手术量和医院手术量的增加与肩关节置换术价值提高之间的关系,这种关系是通过改善手术效果或降低成本来实现的。本文重点介绍这些研究。

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