Co-Management between Internal Medicine and Surgical Specialities: The Identification of the High Risk Patient
DOI:
https://doi.org/10.24950/rspmi.577Keywords:
Comparative Effectiveness Research, Decision Making, Hospitalists, Internal Medicine, Patient Care Team/ organization & administration, Postoperative Complications, Surgical Procedures, Operative, Preoperative CareAbstract
Quality of care for older surgical in-patients, often suffering from pre-existing co-morbidity, requires hospital organiza- tion fostering the cooperation of multi-disciplinary teams. Co-management programmes have proved to be the most adequate for this purpose. However, the costs involved in this approach warrant careful patient selection.
Ascertaining surgical risk in individual patients is a pre-re- quisite for quality and outcome control. The patient’s specific characteristics, the surgical procedure itself and the institu- tional environment are the three main groups of inputs for a comprehensive selection and decision-making framework.
Comparative effectiveness research is required to gather clinical evidence to support the rational use of collaborative and differentiated management of selected patients in mo- dern hospital settings.
A literature-based review article was done that included an overview of outcomes research and outcome measures.
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