Outpatient Surgery Trend in Modern Healthcare

Abstract

Background. Outpatient surgery is proven to be effective, but there are some issues in organizing the workflow of an outpatient surgery center, selecting patients, and developing a perioperative care system.
 Purpose. To study the international experience in creating outpatient surgery centers.
 Methods and Materials. The review was prepared using the reporting guidelines for systematic reviews and meta-analyses (PRISMA).
 Results. The stages of an outpatient surgery development were defined as follows: firstly, minor surgery, then surgery under local anesthesia, and finally, laparoscopic surgery under general anesthesia. Modern surgery provides a wide range of interventions with minimal contraindications. In addition, it’s still unclear whether outpatient surgery services should be delivered within a multidisciplinary hospital, an outpatient surgery center, or an outpatient and polyclinic institution. Treatment process should engage patients by giving a comprehensive education, standardizing processes, and setting clear expectations for recovery and discharge. When complex patients who have already undergone a surgical intervention come to an outpatient institution, it is crucial to correctly select them. There is no established process of determining whether a patient is suitable for a surgical intervention; patient selection depends on multiple factors. Outpatient surgery centers face several challenges like increasing costs, attracting and retaining of qualified staff. The answer could be to provide payments based on performance, and to focus on patient relevant indicators. The assessment of patient’s health condition after discharge is done, firstly, via telephones, then through messengers, and now by digital cloud applications.