Is perioperative home the future of surgical patient care?

Chen Jun,Liu Hong

doi:10.7555/jbr.29.20140155

Abstract

Is perioperative home the future of surgical patient care?

Highlights

It is estimated that the US health care expenses would account for 19.3% of the United States gross domestic product (GDP) by 2019[1], perioperative expense accounts for an estimated 52% of hospital admission charges in the United States[2]
In order to improve the perioperative outcomes and minimize the operational mistakes and accidents caused by the fragmented care, the American Society of Anesthesiologists (ASA) and other organizations recommended the perioperative surgical home (PSH) project as an innovative, patient-centered, surgical continuity of care model that fully incorporated shared decision-making and seamless continuity of care for the surgical patient
One studylooked at the surgical intensive care unit (ICU) patients who were managed by the same anesthesiologists for intraoperative and postoperative care vs. those whose care was managed by different anesthesiologists, the length of ICU stay were (2.72 vs. 4.85 days with P,0.001) and length of hospital stay (LOS, 6.87 vs. 10.1 days, P50.004) were significantly reduced in the PSH model

Summary

Introduction

It is estimated that the US health care expenses would account for 19.3% of the United States gross domestic product (GDP) by 2019[1], perioperative expense accounts for an estimated 52% of hospital admission charges in the United States[2]. In order to improve the perioperative outcomes and minimize the operational mistakes and accidents caused by the fragmented care, the American Society of Anesthesiologists (ASA) and other organizations recommended the PSH project as an innovative, patient-centered, surgical continuity of care model that fully incorporated shared decision-making and seamless continuity of care for the surgical patient. Physician-led and team-based care to provide high quality services, 3.

Results

Conclusion