Duke University Health Center, Department of Surgery, DUMC, HAFS 7678, Durham, NC 27710, USA.
Surg Clin North Am. 2018 Dec;98(6):1109-1117. doi: 10.1016/j.suc.2018.07.016.
Enhanced Recovery is broadly defined as the application of evidence based perioperative care elements for improved surgical outcomes. Demonstration of decreasing surgical stress with innovation of surgical technique, in combination with pressure to drive down health care costs, have coalesced into a unique version of perioperative medicine in the United States. The US government has failed to show interest; there are no performance metrics, no participation requirements, and certainly no monetary incentives for implementation of best perioperative practices. When considering the term, Enhanced Recovery is, in its broadest sense, an amalgam of industry, innovation, patient-focused care, cost-effective strategies, and collaboration with a goal of best perioperative outcomes.
强化康复被广泛定义为应用循证围手术期护理要素以改善手术结果。随着手术技术的创新，减少手术应激的示范，加上降低医疗保健成本的压力，已经在美国形成了一种独特的围手术期医学版本。美国政府对此不感兴趣；没有绩效指标，没有参与要求，当然也没有实施最佳围手术期实践的经济激励措施。当考虑这个术语时，在最广泛的意义上，强化康复是行业、创新、以患者为中心的护理、具有成本效益的策略以及合作的融合，目的是实现最佳围手术期结果。
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