Preoperative Education for Hip and Knee Replacement: Never Stop Learning

被引：87
作者：
Edwards P.K. [1 ]
Mears S.C. [1 ]
Lowry Barnes C. [1 ]
机构：
[1] Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 531, Little Rock, 72205, AR
来源：
Current Reviews in Musculoskeletal Medicine | 2017年 / 10卷 / 3期
关键词：
Alternative payment model; Bundled payment; Discharge disposition; Hip replacement; Hospital readmissions; Knee replacement;
D O I：
10.1007/s12178-017-9417-4
中图分类号：
学科分类号：
摘要：
Purpose of review: Participation in alternative payment models has focused efforts to improve outcomes and patient satisfaction while also lowering cost for elective hip and knee replacement. The purpose of this review is to determine if preoperative education classes for elective hip and knee replacement achieve these goals. Recent findings: Recent literature demonstrates that patients who attend education classes prior to surgery have decreased anxiety, better post-operative pain control, more realistic expectations of surgery, and a better understanding of their surgery. As a result, comprehensive clinical pathways incorporating a preoperative education program for elective hip and knee replacement lead to lower hospital length of stay, higher home discharge, lower readmission, and improved cost. Summary: In summary, we report convincing evidence that preoperative education classes are an essential element to successful participation in alternative payment models such as the Bundle Payment Care Initiative. © 2017, The Author(s).
引用
收藏
页码：356 / 364
页数：8
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