Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York.
Center for Musculoskeletal Research, Department of Orthopaedic Surgery, University of Rochester School of Medicine, Rochester, New York.
JBJS Rev. 2022 Jun 21;10(6). doi: e22.00036. eCollection 2022 Jun 1.
➢ The economics of transitioning total joint arthroplasty (TJA) to standalone ambulatory surgery centers (ASCs) should not be capitalized on at the expense of patient safety in the absence of established superior patient outcomes. ➢ Proper patient selection is essential to maximizing safety and avoiding complications resulting in readmission. ➢ Ambulatory TJA programs should focus on reducing complications frequently associated with delays in discharge. ➢ The transition from hospital-based TJA to ASC-based TJA has substantial financial implications for the hospital, payer, patient, and surgeon.
➢ 在没有确立更优的患者转归的情况下，将全关节置换术（TJA）转移到独立的日间手术中心（ASC）的经济学考量不应以牺牲患者安全为代价。➢ 适当的患者选择对于最大限度地提高安全性和避免导致再次入院的并发症至关重要。➢ 日间 TJA 项目应侧重于减少与出院延迟相关的常见并发症。➢ 将基于医院的 TJA 过渡到基于 ASC 的 TJA 对医院、付款人、患者和外科医生都具有重大的财务影响。
