Guy's and St Thomas' NHS Foundation Trust, London, UK
Guy's and St Thomas' NHS Foundation Trust, London, UK, honorary reader, Faculty of Life Sciences and Medicine, King's College London, London, UK and honorary associate professor, Division of Surgery & Interventional Science, University College London, London, UK.
Clin Med (Lond). 2019 Nov;19(6):478-484. doi: 10.7861/clinmed.2019-0223.
Perioperative medicine for older people undergoing surgery (POPS) services are gaining traction, in acknowledgment of the poorer outcomes experienced by older surgical patients. In response to the NHS' growing focus on scaling innovation, a logic model of the POPS service at Guy's and St Thomas' NHS Foundation Trust was developed to articulate a founding centre's experience. The logic model was applied as a means of service evaluation and to guide implementation of a new POPS service at a district general trust. This is a novel study within the field of perioperative medicine for older people, interlinking implementation science theory to achieve meaningful clinical results and describe the lessons learnt during the process. Future work will include validation of this logic model to facilitate national POPS scale-up.
围手术期老年医学（POPS）服务正在兴起，这是因为人们认识到老年手术患者的预后较差。为了响应国民保健制度日益关注创新，盖伊和圣托马斯国民保健信托基金会开发了一个 POPS 服务的逻辑模型，以阐明一个创始中心的经验。该逻辑模型被用作服务评估的一种手段，并指导在地区综合信托中实施新的 POPS 服务。这是围手术期老年医学领域内的一项新颖研究，将实施科学理论联系起来，以获得有意义的临床结果，并描述在此过程中吸取的经验教训。未来的工作将包括验证这个逻辑模型，以促进全国范围内的 POPS 扩大规模。
