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波兰的门诊脊柱手术:关于受欢迎程度、挑战及未来展望的调查

Outpatient Spine Surgery in Poland: A Survey on Popularity, Challenges, and Future Perspectives.

作者信息

Latka Kajetan, Kołodziej Waldemar, Rajski Rafal, Pawuś Dawid, Chowaniec Jacek, Latka Dariusz

机构信息

Department of Neurosurgery, The St. Hedwig's Regional Specialist Hospital, Opole, Poland.

Center for Minimally Invasive Spine and Peripheral Nerve Surgery neurochirurg.opole.pl, Opole, Poland.

出版信息

Risk Manag Healthc Policy. 2023 Sep 12;16:1839-1848. doi: 10.2147/RMHP.S425465. eCollection 2023.

Abstract

OBJECTIVE

This study aimed to investigate the popularity of outpatient spine surgery in Poland, identify factors influencing its adoption, and assess its benefits, challenges, and impact on patient outcomes and healthcare costs. Additionally, the study proposes strategies to improve outpatient spine surgery adoption and ensure its safe implementation in Poland.

MATERIALS AND METHODS

An electronic survey was distributed to members of the Polish Spine Surgery Society and the Polish Neurosurgery Society. Data were analyzed using Matlab R2020b statistical software, employing descriptive statistics to summarize the responses.

RESULTS

The survey indicated that 67% of respondents provide spinal procedures commercially, with 58% performing them on an outpatient basis, showing the growing role of the private sector in providing spinal surgery services in Poland. Root nerve blocks and joint blocks were the most common outpatient procedures, followed by microdiscectomy, endoscopic discectomy, and L-S spinal fusion. The public NHF was the most common payer for outpatient procedures.

CONCLUSION

Outpatient spine surgery in Poland is not yet widespread, but improvements can be made to reduce hospital stays and enhance recovery. Changes in reimbursement systems to cover outpatient procedures and addressing physicians' liability concerns, particularly by emphasizing the NO-fault system, are essential. With proper support, outpatient spine surgery could become a valuable addition to Poland's healthcare system.

摘要

目的

本研究旨在调查波兰门诊脊柱手术的普及情况,确定影响其采用的因素,并评估其益处、挑战以及对患者预后和医疗成本的影响。此外,该研究还提出了提高波兰门诊脊柱手术采用率并确保其安全实施的策略。

材料与方法

向波兰脊柱外科学会和波兰神经外科学会的成员发放了电子调查问卷。使用Matlab R2020b统计软件对数据进行分析,采用描述性统计来总结回复情况。

结果

调查表明,67%的受访者提供商业性脊柱手术,其中58%在门诊进行手术,这表明波兰私营部门在提供脊柱手术服务方面的作用日益增强。神经根阻滞和关节阻滞是最常见的门诊手术,其次是显微椎间盘切除术、内镜下椎间盘切除术和腰-骶脊柱融合术。公共国家医疗基金是门诊手术最常见的支付方。

结论

波兰的门诊脊柱手术尚未广泛开展,但可以进行改进以减少住院时间并促进康复。报销系统的变革以涵盖门诊手术以及解决医生的责任问题,特别是强调无过错制度,至关重要。在适当的支持下,门诊脊柱手术可能会成为波兰医疗体系的一项有价值的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8917/10505014/bb41554e7d6d/RMHP-16-1839-g0001.jpg

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