Preoperative Risk Management in Perioperative Medicine and Value-based Care: What the United States Needs to Understand, What the United Kingdom Knows

被引:1
|
作者
Aronson, Solomon [1 ]
Grocott, Michael P. W. [2 ]
Mythen, Michael G. [3 ]
机构
[1] Duke Univ, Sch Med, Anesthesiol & Populat Hlth Sci, Durham, NC USA
[2] Univ Southampton, Univ Hosp Southampton NHS Fdn Trust, Anaesthesia & Crit Care Med, Southampton, Hants, England
[3] UCL, London, England
关键词
perioperative medicine; preoperative risk management; value based care; SURGICAL QUALITY IMPROVEMENT; POSTOPERATIVE OUTCOMES; GENERAL-SURGERY; PATIENT; COMPLICATIONS; PROGRAM; COSTS; MORTALITY; SAFETY; MODEL;
D O I
10.1097/BTO.0000000000000427
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In the United States, the economics of health has caused us to recognize that a national strategy is needed to quickly and effectively bend the cost curve of a system that is globally noncompetitive with respect to value and is unsustainable in its current form as a health care delivery model. Heretofore, US national policy and health care reform efforts have principally focused on addressing gaps in coverage. Going forward in the United States the drivers of value for health care will most likely come from re-engineering the delivery system itself. In the setting of perioperative medicine, these value gaps maybe unrecognized and underappreciated.
引用
收藏
页码:31 / 34
页数:4
相关论文
共 2 条
  • [1] Critical care medicine in the United States: What we know, what we do not, and where we go from here
    Cohen, Neal H.
    CRITICAL CARE MEDICINE, 2010, 38 (01) : 304 - 306
  • [2] A National Survey of Airway Management Training in United States Internal Medicine-Based Critical Care Fellowship Programs
    Joffe, Aaron M.
    Liew, Elaine C.
    Olivar, Hernando
    Dagal, Armagan H. C.
    Grabinsky, Andreas
    Hallman, Matt
    Treggiari, Miriam M.
    RESPIRATORY CARE, 2012, 57 (07) : 1084 - 1088