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Review Finds Peri-Op Surgical Home Care Model Beneficial

Greatest impact in terms of preparing patients for surgery, ensuring effective post-op transitions

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Rigorously coordinated and integrated perioperative management, known as the perioperative surgical home (PSH) model of care, seems to have a consistent and positive effect, according to a study published in the December issue of the Milbank Quarterly.

Bita A. Kash, Ph.D., M.B.A., from Texas A&M University in College Station, and colleagues conducted a comprehensive review of the literature to examine the role of the PSH, a physician-led care delivery model that includes multi-specialty care teams and cost-efficient resource use. Data were reviewed from 152 articles published between 1980 and 2013.

The researchers found that PSH initiatives were associated with consistent and significant positive findings. The role of anesthesiologists was emphasized in perioperative patient management. In addition, the PSH emphasized intraoperative optimization and improved return to function through follow-up. The greatest impact of the PSH seemed to be in preparing patients for surgery and ensuring their safe and effective transition to home or postoperative rehabilitation.

"The PSH model may have significant implications for policymakers, payers, administrators, clinicians, and patients," the authors write. "The potential for policy-relevant cost savings and quality improvement is apparent across the perioperative continuum of care, especially for integrated care organizations, bundled payment, and value-based purchasing."

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