Preoperative Education for Hip and Knee Replacement: Never Stop Learning
Preoperative Education for Hip and Knee Replacement: Never Stop Learning
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DOI：
10.1007/s12178-017-9417-4
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发表时间：
2017-09-01
影响因子：
4.1
通讯作者：
Barnes, C. Lowry
中科院分区：
文献类型：
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作者：
Edwards, Paul K.;Mears, Simon C.;Barnes, C. Lowry
参与替代支付模式的重点是改善结果和患者满意度，同时降低择期髋关节和膝关节置换术的成本。本综述的目的是确定择期髋关节和膝关节置换术的术前教育课程是否能实现这些目标，最近的文献表明，术前参加教育课程的患者焦虑减少，术后疼痛控制更好，对手术的期望更现实，对手术有更好的理解。因此，全面的临床路径纳入术前教育计划的择期髋关节和膝关节置换术导致住院时间较短，出院率较高，再入院率较低，并改善cost.In总结，我们报告令人信服的证据表明，术前教育课程是一个基本要素，成功地参与替代支付模式，如捆绑支付护理计划。
Participation in alternative payment models has focused efforts to improve outcomes and patient satisfaction while also lowering cost for elective hip and knee replacement. The purpose of this review is to determine if preoperative education classes for elective hip and knee replacement achieve these goals.Recent literature demonstrates that patients who attend education classes prior to surgery have decreased anxiety, better post-operative pain control, more realistic expectations of surgery, and a better understanding of their surgery. As a result, comprehensive clinical pathways incorporating a preoperative education program for elective hip and knee replacement lead to lower hospital length of stay, higher home discharge, lower readmission, and improved cost.In summary, we report convincing evidence that preoperative education classes are an essential element to successful participation in alternative payment models such as the Bundle Payment Care Initiative.