Levels of Gynecologic Care A Task Force Consensus Statement

被引:4
作者
Breitkopf, Daniel
Banks, Erika
Chelmow, David
Lara-Torre, Eduardo
McCue, Kelly
Ogburn, Tony
Pfeifer, Samantha
Anderson, Ted
Valea, Fidel A.
机构
[1] Mayo Clin, Dept Obstet, Coll Med & Sci, Rochester, MN USA
[2] Mayo Clin, Dept Gynecol, Coll Med & Sci, Rochester, MN USA
[3] New York Univ, Long Isl Sch Med, Mineola, NY USA
[4] Virginia Commonwealth Univ, Sch Med, Richmond, VA USA
[5] Virginia Tech, Caril Sch Med, Roanoke, VA USA
[6] Kaiser Permanente Med Ctr, Sacramento, CA USA
[7] Univ Texas Rio Grande Valley, Sch Med, Edinburg, TX USA
[8] Weill Cornell Sch Med, New York, NY USA
[9] Vanderbilt Univ Sch Med, Nashville, TN USA
[10] Northwell Hlth Canc Inst, Zucker Sch Med, New Hyde Pk, NY USA
关键词
HOSPITAL VOLUME; PATIENT SAFETY; OFFICE; OUTCOMES; SURGERY;
D O I
10.1097/AOG.0000000000005173
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Systems of care have been established for obstetrics, trauma, and neonatology. An American College of Obstetricians and Gynecologists Presidential Task Force was established to develop a care system for gynecologic surgery. A group of experts who represent diverse perspectives in gynecologic practice proposed definitions of levels of gynecologic care using the Delphi method. The goal is to improve the quality of gynecologic surgical care performed in the United States by providing a framework of minimal institutional requirements for each level. Subgroups developed draft criteria for each level of care. The entire Task Force then met to reach consensus regarding the levels of care final definitions and parameters. The levels of gynecologic care framework focuses on systems of care by considering institutional resources and expertise, providing guidance on the provision of care in appropriate level facilities. These levels were defined by the ability to care for patients of increasing risk, complexity, and comorbidities, organizing gynecologic care around hospital capability. This framework can also be used to inform the escalation of care to appropriate facilities by identifying patients at risk and guiding them to facilities with the skills, expertise, and capabilities to safely and effectively meet their needs. The levels of gynecologic care framework is intended for use by patients, hospitals, and clinicians in the United States to guide where elective surgery can be done most safely and effectively by specialists and subspecialists in obstetrics and gynecology. The key features of the levels of gynecologic care include ensuring provision of risk-appropriate care and regionalization of care by facility capabilities.
引用
收藏
页码:1036 / 1045
页数:10
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