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术后加速康复:经济影响与价值。

Enhanced Recovery After Surgery: Economic Impact and Value.

机构信息

Department of Surgery, McGill University Health Centre, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, 1001 Decarie Boulevard, DS1-3310, Montreal, Quebec H4A 3J1, Canada.

Division of General Surgery, McGill University Health Centre, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, 1650 Cedar Avenue, L9-404, Montreal, Quebec H3G 1A4, Canada.

出版信息

Surg Clin North Am. 2018 Dec;98(6):1137-1148. doi: 10.1016/j.suc.2018.07.003. Epub 2018 Aug 24.

Abstract

Value in health care is defined as the best outcome that matters to the patient at the lowest cost. Therefore, a valuable intervention is one that either results in better outcomes at the same cost, the same outcomes at lower cost, or in the best-case scenario, better outcomes at lower cost. Enhanced recovery pathways (ERPs) increase value by improving clinical outcomes without increasing costs. ERPs do not increase overall costs, even when implementation and maintenance costs are considered. More research on patient-reported outcomes and other downstream effects of ERPs is required to fully characterize their true value.

摘要

医疗保健中的价值被定义为以最低成本对患者最重要的最佳结果。因此,有价值的干预措施要么以相同的成本产生更好的结果,要么以更低的成本产生相同的结果,或者在最好的情况下,以更低的成本产生更好的结果。增强型康复途径 (ERPs) 通过改善临床结果而不增加成本来增加价值。即使考虑到实施和维护成本,ERPs 也不会增加总体成本。需要更多关于 ERPs 的患者报告结果和其他下游影响的研究,以充分描述其真正价值。

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