International comparison of preoperative testing and assessment protocols and best practices to reduce surgical care costs: a systematic literature review.

Q4 Medicine
Bita A Kash, Kayla M Cline, Stephen Timmons, Rahil Roopani, Thomas R Miller
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引用次数: 6

Abstract

Purpose: Health care institutions in many Western countries have developed preoperative testing and assessment guidelines to improve surgical outcomes and reduce cost of surgical care. The aims of this chapter are to (1) summarize the literature on the effect of preoperative testing on clinical outcomes, efficiency, and cost; and (2) to compare preoperative testing guidelines developed in the United States, the United Kingdom, and Canada.

Design/methodology/approach: We reviewed the literature from 1975 to 2014 for studies and preoperative testing guidelines.

Findings: We identified 29 empirical studies and 8 country-specific guidelines for review. Most studies indicate that preoperative testing is overused and comes at a high cost. Guidelines are tied to payment only in one country studied. This is the most recent review of the literature on preoperative testing and assessment with a focus on quality of care, efficiency, and cost outcomes. In addition, this chapter provides an international comparison of preoperative guidelines.

国际比较术前测试和评估方案和最佳做法,以减少手术护理费用:系统的文献综述。
目的:许多西方国家的卫生保健机构制定了术前测试和评估指南,以改善手术效果并降低手术护理成本。本章的目的是:(1)总结术前检查对临床结果、效率和成本影响的文献;(2)比较美国、英国和加拿大制定的术前检查指南。设计/方法学/方法:我们回顾了1975年至2014年的文献研究和术前检查指南。研究结果:我们确定了29项实证研究和8项国家特定指南进行审查。大多数研究表明,术前检查被过度使用,而且成本很高。研究中只有一个国家的指导方针与支付挂钩。这是关于术前检测和评估的最新文献综述,重点关注护理质量、效率和成本结果。此外,本章提供了术前指南的国际比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advances in Health Care Management
Advances in Health Care Management Medicine-Health Policy
CiteScore
0.70
自引率
0.00%
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