Deindl C, Neumann A
Bundesverband Ambulantes Operieren (BAO) Berlin, Joachim-Karnatz-Allee 7, 10557, Berlin, Deutschland.
Urologie. 2022 Aug;61(8):829-838. doi: 10.1007/s00120-022-01878-5. Epub 2022 Jul 6.
Over the past 30 years, outpatient surgery has developed into an indispensable pillar of patient care in Germany, without its full potential coming to light.
What are the reasons for the stagnation of further development of outpatient surgery and its suboptimal status quo?
Presentation and comparison of outpatient surgery numbers from clinics and practices, and a critical analysis of their development.
After reaching a maximum number of outpatient operations in practices and clinics in 2015, there has been a location-independent decrease and stagnation due to underfunding of outpatient surgical structures and a shortage of resources.
Outpatient surgery represents a patient-friendly and cost-effective alternative to inpatient interventions, provided that that medical and social indications rule out an increased risk. The expansion of outpatient surgery has so far provided relieve to the cost-intensive hospital sector and-in view of the shortage of nurses and physicians-will do so to an even greater extent as soon as politicians and payers commit to remuneration that is performance-related and actually covers the costs. Furthermore, the future of the healthcare system also depends on the future of outpatient surgery, which is to be assessed as positive.
在过去30年里，门诊手术已发展成为德国患者护理中不可或缺的支柱，但尚未充分发挥其全部潜力。
门诊手术进一步发展停滞及其现状欠佳的原因是什么？
展示并比较诊所和医疗实践中的门诊手术数量，并对其发展进行批判性分析。
2015年诊所和医疗实践中的门诊手术数量达到峰值后，由于门诊手术结构资金不足和资源短缺，出现了与地点无关的下降和停滞。
只要医学和社会指征不增加风险，门诊手术是住院干预的一种患者友好且具有成本效益的替代方案。到目前为止，门诊手术的扩展为成本高昂的医院部门减轻了负担，而且鉴于护士和医生短缺，一旦政治家和支付方承诺实行与绩效相关且实际覆盖成本的薪酬制度，门诊手术将在更大程度上起到减轻负担的作用。此外，医疗保健系统的未来也取决于门诊手术的未来，而门诊手术的未来被评估为积极的。
