Ludbrook Guy L
The University of Adelaide, and Royal Adelaide Hospital, C/O Royal Adelaide Hospital, 3G395, 1 Port Road, Adelaide, South Australia 5000 Australia.
Curr Anesthesiol Rep. 2022;12(1):1-9. doi: 10.1007/s40140-021-00493-y. Epub 2021 Nov 1.
Population-based increases in ageing and medical co-morbidities are expected to substantially increase the incidence of expensive postoperative complications. This threatens the sustainability of essential surgical care, with negative impacts on patients' health and wellbeing.
Identification of key high-risk areas, and implementation of proven cost-effective strategies to manage both outcome and cost across the end-to-end journey of the surgical episode of care, is clearly feasible. However, good programme design and formal cost-effectiveness analysis is critical to identify, and implement, true high value change.
Both outcome and cost need to be a high priority for both fundholders and clinicians in perioperative care, with the focus for both groups on delivering high-quality care, which in itself, is the key to good cost management.
预计基于人群的老龄化和医疗合并症增加将大幅提高昂贵的术后并发症发生率。这威胁到基本外科护理的可持续性，对患者的健康和福祉产生负面影响。
明确识别关键的高风险领域，并实施经证实具有成本效益的策略，以在手术护理过程的端到端过程中管理结果和成本，显然是可行的。然而，良好的项目设计和正式的成本效益分析对于识别和实施真正的高价值变革至关重要。
在围手术期护理中，结果和成本对于资金持有者和临床医生都应是高度优先事项，两组的重点都应是提供高质量护理，而这本身就是良好成本管理的关键。
