Paloncy Ralph, Greimel Felix, Grifka Joachim
ZAR Regensburg, Dr.-Gessler-Straße 29, 93051, Regensburg, Deutschland.
Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach, Deutschland.
Orthopade. 2022 May;51(5):385-394. doi: 10.1007/s00132-022-04241-w. Epub 2022 Apr 20.
No appeal by a health politician, no matter how insistent, has ever forced all the operational structures of our health-care system to examine their own efficiencies and cost reduction potentials as has SARS-CoV‑2. Fast-track surgery, developed long before the current pandemic, can become an indispensable element of modern hospital routines through the integration of interlocked care structures. Patient satisfaction and clinical outcome can be improved by significantly shortening hospital stays, decreasing complication rates, and by additionally strengthening the competence and motivation of the patients involved. Hospital staff could be relieved of heavy workloads, and overall costs could be reduced by involving external prehabilitation centers. It is now necessary to further develop standards for the establishment and implementation of appropriately coordinated prehabilitation and rehabilitation concepts for elective total hip and knee replacement surgery and, ideally, to save resources at the same time through regional networking and integration.
没有哪位卫生政策制定者的呼吁，无论多么坚决，能像新冠病毒那样迫使我们医疗保健系统的所有运营结构审视自身的效率和降低成本的潜力。早在当前疫情之前就已发展起来的快速康复外科手术，通过整合相互关联的护理结构，可成为现代医院日常工作中不可或缺的要素。通过大幅缩短住院时间、降低并发症发生率，以及额外增强相关患者的能力和积极性，可提高患者满意度和临床疗效。借助外部术前康复中心，可减轻医院工作人员的繁重工作量，并降低总体成本。现在有必要进一步制定标准，以便为择期全髋关节和全膝关节置换手术建立和实施适当协调的术前康复和康复概念，理想情况下，通过区域联网和整合同时节省资源。
