A Perioperative Medicine Model for Population Health: An Integrated Approach for an Evolving Clinical Science

被引：53

作者：

Aronson, Solomon ^{[1
]}

Westover, Julie ^{[1
]}

Guinn, Nicole ^{[1
]}

Setji, Tracy ^{[2
]}

Wischmeyer, Paul ^{[1
]}

Gulur, Padma ^{[1
]}

Hopkins, Thomas ^{[1
]}

Seyler, Thorsten M. ^{[3
]}

Lagoo-Deendayalan, Sandhya ^{[4
]}

Heflin, Mitchell T. ^{[2
]}

Thompson, Annemarie ^{[1
]}

Swaminathan, Madhav ^{[1
]}

Flanagan, Ellen ^{[1
]}

机构：

[1] Duke Univ, Sch Med, Dept Anesthesiol, Durham, NC USA

[2] Duke Univ, Sch Med, Dept Internal Med, Durham, NC USA

[3] Duke Univ, Sch Med, Dept Orthopaed Surg, Durham, NC USA

[4] Duke Univ, Sch Med, Dept Surg, Durham, NC USA

来源：

ANESTHESIA AND ANALGESIA | 2018年 / 126卷 / 02期

关键词：

SURGICAL-PATIENTS; HOSPITAL STAY; PREOPERATIVE HEMATOCRIT; SURGERY; PREVALENCE; OUTCOMES; LENGTH; MALNUTRITION; ANEMIA; COSTS;

D O I：

10.1213/ANE.0000000000002606

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Health care delivery in the United States continues to balance on the tight rope that connects its transition from volume to value. Value in economic terms can be defined as the amount something exceeds its commodity price and is determined by extraordinary reputation, quality, and/or service, whereas its destruction can be a consequence of poor management, unfavorable policy, decreased demand, and/or increased competition. Going forward, payment for health care delivery will increasingly be based on services that contribute to improvements in individual and/or population health value, and funds to pay for health care delivery will become increasingly vulnerable to competitive market forces. Therefore, a sustainable population health strategy needs to be comprehensive and thus include perioperative medicine as an essential component of the complete cycle of patient-centered care. We describe a multidisciplinary integrated program to support perioperative medicine services that are integral to a comprehensive population health strategy. (Anesth Analg 2018; 126: 682-90)

引用

页码：682 / 690

页数：9

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