Ahmed Faizan, Chithrala Bharath, Barve Kanchan, Biladeau Sara, Clifford Sean P
Anesthesiology, University of Louisville School of Medicine, Louisville, USA.
Anesthesiology, University of Pikeville, Pikeville, USA.
Cureus. 2023 Aug 30;15(8):e44410. doi: 10.7759/cureus.44410. eCollection 2023 Aug.
Value-based care, prioritizing patient outcomes over service volume, is steering a transformative course in anesthesiology in the United States. With the rise of this patient-centric approach, anesthesiologists are adopting dynamic roles to meet the demands of medical institutions, insurers, and patients for high-quality, cost-effective care. The urgency for this transition is accentuated by persistent challenges in reducing postoperative mortality rates and surgical complications, further spotlighted by the coronvirus disease 2019 (COVID-19) pandemic. Anesthesiologists engage in preoperative optimization, personalized care delivery, and evidence-based practices, bolstering their influence in the perioperative environment. Their collaboration with perioperative stakeholders propels the shift toward a value-driven healthcare landscape. This review analyzes the implementation of value-based care in American anesthesiology, assesses the significance of technology in enhancing its delivery, and outlines potential strategies for improving its application.
以价值为基础的医疗模式，将患者结局置于服务量之上，正在引领美国麻醉学领域的变革之路。随着这种以患者为中心的方法兴起，麻醉医生正在承担起多样化的角色，以满足医疗机构、保险公司和患者对高质量、高性价比医疗服务的需求。在降低术后死亡率和手术并发症方面持续存在的挑战，进一步凸显了这种转变的紧迫性，而2019年冠状病毒病（COVID-19）大流行更是使这一问题备受关注。麻醉医生致力于术前优化、个性化医疗服务以及循证实践，从而增强他们在围手术期环境中的影响力。他们与围手术期利益相关者的合作推动着向价值驱动型医疗格局的转变。本综述分析了美国麻醉学领域基于价值的医疗模式的实施情况，评估了技术在提升其服务质量方面的重要性，并概述了改进其应用的潜在策略。
