Hempelmann G, Sticher J
Abteilung Anaesthesiologie und Operative Intensivmedizin, Justus-Liebig-Universität, Giessen.
Zentralbl Chir. 1994;119(7):460-5.
Massive increases in costs of health care on one hand and the development of "minimal invasive" surgical techniques on the other hand have enforced an ambulatory or "day-care" treatment policy. Yet, the involvement of hospitals in ambulatory treatment has been limited in Germany, but in the near future this situation will change. In a small number of major hospitals, day surgery programs are going to be established even for infants or for patients at risk for prolonged postoperative monitoring or hospitalization. For these patients the concept of "same day surgery" is suitable. It includes ambulatory anesthesia and operation with the possibility of hospital stay, if necessary. The actual concept at the Justus-Liebig-University Giessen is described. This (at least in Germany) new approach to ambulatory operative treatment decreases costs of health care, improves the chances of hospitals in competition with private practitioners and last not least improves the status of the ambulatory compared with the hospitalized patient.
一方面，医疗保健成本大幅增加，另一方面，“微创”手术技术不断发展，这促使了门诊或“日间护理”治疗政策的实施。然而，在德国，医院参与门诊治疗的程度有限，但在不久的将来这种情况将会改变。在少数几家大型医院，甚至将为婴儿或有术后长期监测或住院风险的患者建立日间手术项目。对于这些患者，“同日手术”的概念是适用的。它包括门诊麻醉和手术，必要时可住院。文中描述了吉森尤斯 - 利比希大学的实际概念。这种（至少在德国）门诊手术治疗的新方法降低了医疗保健成本，提高了医院与私人执业医生竞争的机会，最后但同样重要的是，与住院患者相比，提高了门诊患者的地位。
