Structural, procedural and personnel prerequisites for outpatient vs. inhospital provision of cardiological services A position paper of the German Cardiac Society

被引：5

作者：

Stellbrink, Christoph ^{[1
]}

Weber, Michael A. ^{[2
]}

Frankenstein, Lutz ^{[3
]}

Nowak, Bernd ^{[4
]}

Veltmann, Christian ^{[5
]}

Sinning, Jan-Malte ^{[6
]}

Levenson, Benny ^{[7
]}

Chun, K. R. Julian ^{[8
]}

Mollmann, Helge ^{[9
]}

Schaechinger, Volker ^{[10
]}

Sommer, Philipp ^{[11
]}

Baldus, Stephan ^{[12
]}

Tiefenbacher, Christiane ^{[13
,14
]}

机构：

[1] Univ klinikum OWL, Standort Klinikum Bielefeld Mitte, Klin Kardiol & Intern Intens Med, Bielefeld, Germany

[2] Verband leitenden Krankenhausarzte, Dusseldorf, Germany

[3] Univ klinikum, Kardiol Angiol Pneumol, Klin Innere Med 3, Heidelberg, Germany

[4] Agaples Bethanien Krankenhaus, CCB Cardioangiol Ctr, Frankfurt, Germany

[5] Elektrophysiol Bremen, Bremen, Germany

[6] St Vinzenz Hosp, Innere Med Kardiol 3, Cologne, Germany

[7] Kardiolog Gemeinschaftspraxis, Berlin, Germany

[8] Agaples Markus Krankenhaus, Med Klin 3, CCB, Frankfurt, Germany

[9] Johannes Hosp Dortmund, Klin Innere Med 1, Dortmund, Germany

[10] Klinikum Fulda gAG, Med Klin I, Klin Kardiol & intern Intens Med, Teutoburger Str 50, D-33604 Fulda, Germany

[11] Klin Elektrophysiol Rhythmol Herz & Diabeteszentr, Bad Oeynhausen, Germany

[12] Herzzentrum Univ Koln, Klin Kardiol Angiol Pneumol & Internist Intens, Cologne, Germany

[13] Marien Hosp Wesel gGmbH, Klin Innere Med Kardiol Angiol Pneumol 1, Wesel, Germany

[14] Deutsch Gesell Kardiol, Kommiss Klin Kardiovask Med, Dusseldorf, Germany

来源：

KARDIOLOGIE | 2023年 / 17卷 / 02期

关键词：

Ambulatory; In-patient; Intervention; Implantation; Pacemaker; RADIOFREQUENCY CATHETER ABLATION; SAME-DAY DISCHARGE; RECOMMENDATIONS; GUIDELINES; CONSENSUS; LABORATORIES; STATEMENT; CRITERIA; OUTCOMES; CARE;

D O I：

10.1007/s12181-023-00602-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Performing interventions currently done in-hospital on an outpatient basis is desirable because of technical improvements in many such interventions, shortage of nursing staff, and pressure on overall healthcare cost as well as patients' preference. Cardiology is especially affected because of the large number and variety of cardiac interventions as well as device implantations. However, due to the demographic development, patient age and comorbidities increase. Thus, the structural, personal and procedural requirements necessary to perform such procedures without compromising patient safety must be defined. In this policy paper, such criteria are defined for the German healthcare system, based on current scientific evidence and expert consensus. The final decision whether an intervention is performed in an outpatient setting should remain with the treating physician in agreement with the patient's wish ( "shared decision making ").

引用

页码：95 / 110

页数：16

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