Re-designing the pathway to surgery: better care and added value
| Autor: | Imogen Fecher-Jones, James O. M. Plumb, Denny Z. H. Levett, Mark R Edwards, Michael P.W. Grocott |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Value (ethics)
Opinion medicine.medical_specialty lcsh:Surgery 030204 cardiovascular system & hematology Perioperative medicine Anaesthesia Surgical pathway Collaborative decision-making 03 medical and health sciences 0302 clinical medicine Added value Re-design Medicine 030212 general & internal medicine Intensive care medicine Collaborative behavioural change: “lifestyle modification” business.industry Comorbidity management lcsh:RD1-811 Perioperative medicine.disease Comorbidity Surgery school Variety (cybernetics) Group decision-making Surgery Business process re-engineering business Healthcare system |
| Zdroj: | Perioperative Medicine Perioperative Medicine, Vol 6, Iss 1, Pp 1-7 (2017) |
| Popis: | The case for radical pathway re-design before surgery is in part driven by healthcare system pressures which are in turn the result of continuously rising demand in the face of tightly constrained resources. Such circumstances tend to drive revolutionary, rather than incremental, change. The current approach to preoperative assessment, that typically occurs in the weeks leading up to surgery, but is all too often only a few days before surgery, results in a lost opportunity for perioperative physicians to improve patient care. Re-engineering this process based on a patient-focused, pathway-driven vision of perioperative medicine offers a means of exploiting this opportunity. This review explores drivers for change, the opportunity offered by pathway re-design, and suggests a variety of strategies to add value in the preoperative pathway, each of which is facilitated by early engagement between perioperative physician and patient: collaborative decision-making, collaborative behavioural change, targeted comorbidity management as well as expectation management and psychological preparation for surgery including surgery schools. |
| Databáze: | OpenAIRE |
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