Value based anesthesia:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Saunders
2008
|
| Schriftenreihe: | Anesthesiology clinics
26,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographic references and index |
| Beschreibung: | XIV S., S. 614 - 801 Ill., graph. Darst. 24 cm |
| ISBN: | 9781416062738 1416062734 |
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| 246 | 1 | 3 | |a Value-based anesthesia |
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| 490 | 1 | |a Anesthesiology clinics |v 26,4 | |
| 500 | |a Includes bibliographic references and index | ||
| 650 | 4 | |a Anesthesia services / Cost effectiveness | |
| 650 | 4 | |a Medical care / Cost effectiveness | |
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| 650 | 4 | |a Operating rooms / Administration | |
| 650 | 4 | |a Anesthesiologists - Practice | |
| 650 | 4 | |a Anesthesia services |x Cost effectiveness | |
| 650 | 4 | |a Anesthesiology |x economics | |
| 650 | 4 | |a Costs and Cost Analysis | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
Foreword xi
Lee A. Fleisher
Preface xiii
Alex Macario
Is it Possible to Measure and Improve Patient Satisfaction with Anesthesia? 613
Maurizia Capuzzo and Raffaele Alvisi
Satisfaction cannot be considered as an objective indicator of the quality
of anesthesia care, but it remains the best way to assess the outcome from
the point of view of the patient. Patient satisfaction offers the opportunity
for evaluating nontechnical aspects of medical care, in particular interper¬
sonal relationships arising from specific episodes of care. Satisfaction is
usually defined as the result of the comparison between expectations
and perceived outcome. If improving patient satisfaction with anesthesia
becomes one of the aims of a health service, anesthetists have to consider
that when patients have an improved anesthesia experience, their expec¬
tations are exceeded, which in turn increases the expectations for subse¬
quent anesthetics. A continuous quality improvement process is needed to
maintain patient satisfaction at the highest level.
I Pharmaceutical New Product Development: The Increasing Role of In-Licensing 627
Nancy V. Edwards
Many pharmaceutical companies are facing a pipeline gap because of the
increasing economic burden and uncertainty associated with internal re¬
search and development programs designed to develop new pharmaceu¬
tical products. To fill this pipeline gap, pharmaceutical companies are
increasingly relying on in-licensing opportunities. New business develop¬
ment identifies new Pharmaceuticals that satisfy unmet needs and are
a good strategic fit for the company, completes valuation models and fore¬
casts, evaluates the ability of the company to develop and launch prod¬
ucts, and pursues in-licensing agreements for Pharmaceuticals that
cannot be developed internally on a timely basis. These agreements in¬
volve the transfer of access rights for patents, trademarks, or similar intel¬
lectual property from an outside company in exchange for payments.
Despite the risks, in-licensing is increasingly becoming the preferred
method for pharmaceutical companies with pipeline gaps to bring new
Pharmaceuticals to the clinician.
Staffing the Operating Room Suite: Perspectives from Europe and North America
on the Role of Different Anesthesia Personnel 637
Christoph B. Egger Halbeis and Armin Schubert
In North America and Europe, a spectrum of anesthesia personnel exists to
deliver anesthesia care. The common transatlantic features, however, are
increasing demand for and shortage of anesthesia caregivers. Mecha¬
nisms counteracting this shortage include increased entry into practice
from higher numbers of anesthesia residents and changes in the delivery
of anesthesia care by extension of the role of nonphysician anesthesia pro¬
viders. The training, professional and technical roles, and workforce con¬
tribution of anesthesiologists, anesthetists, and various support personnel
in Europe and the United States are described. Current and future factors
influencing the relationship between provider availability, use, and demand
differ across the Atlantic and within Europe.
TheValue Proposition of Anesthesia Information Management Systems 665
Christoph B. Egger Halbeis and Richard H. Epstein
Anesthesia information management systems add value to the anesthesi¬
ologist and the hospital above that which is provided by manual anesthesia
records. The more complete documentation and less biased recording of
vital signs in this system, relative to manual records, provide data needed
for quality initiatives and operating room management and for clinical re¬
search. The system can improve the ability to increase anesthesia charge
capture, meet the requirements of pay-for-performance programs, and as¬
sist in the defense of malpractice allegations. Realization of value from the
anesthesia information management systems requires additional expendi¬
tures of resources to adapt the systems to meet specific institutional
requirements.
Making it Work: Setting up a Regional Anesthesia Program that Provides Value 681
Edward R. Mariano
Regional anesthesia offers many benefits for the patient, surgery center,
anesthesiology practice, and hospital. Unfortunately, there are no evi¬
dence-based guidelines to follow when starting a new service aimed at
providing peripheral nerve blocks. A regional anesthesia program adds
value by improving the quality of postoperative analgesia and recovery af¬
ter surgery. Specialized training in regional anesthesia is necessary when
using advanced techniques, such as ultrasound guidance and continuous
peripheral nerve blockade. A regional anesthesia service may shorten
postanesthesia recovery time in ambulatory surgery and duration of hos¬
pital admission for some surgeries. A successful regional anesthesia ser¬
vice promotes effective communication among all members of the
perioperative team.
How Much Work is Enough Work? Results of a Survey of US and Australian
Anesthesiologists Perceptions of Part-Time Practice and Part-Time Training 693
Catherine A. Mclntosh, Alex Macario, and Keith Streatfeild
This article reports the results of a written survey administered to anesthe¬
siologists in Australia and the United States regarding their opinions to¬
ward part-time practice and training. Although type of work and case
volume were acknowledged to be important, most respondents reported
a need for guidelines regarding levels of minimum acceptable clinical ac¬
tivity. A major recurring theme was that interindividual variation in compe¬
tence is so great that no one set of rules can encompass each individual s
circumstances with regard to minimum hours to stay competent and need
to re-train after more than 6 months away from routine clinical practice.
Guidelines regarding volume and variety of clinical work to acquire and
maintain competence while practicing part-time may deserve further study
to maintain quality and safety.
Part-Time Clinical Anesthesia Practice: a Review of the Economic,
Quality, and Safety Issues 707
Catherine A. Mclntosh and Alex Macario
Part-time clinical practice in anesthesia is increasing due to the feminiza-
tion and the aging of the medical workforce, as well as the arrival of gen¬
erations X and Y to the health care workforce. Recruiting the best and
brightest physicians requires accommodating their needs and interests,
as well as retaining older workers who wish to reduce their hours as
they approach retirement. This article discusses steps to help depart¬
ments or groups optimally manage the part-time anesthesia workforce.
The Science and Economics of Improving Clinical Communication 729
William T. O Byrne, III, Liza Weavind, and John Selby
This article presents a complex clinical scenario based on actual commu¬
nication breakdowns that led to a sentinel event. Basic communication
theory that underlies clinical interactions and the tenets of health care eco¬
nomic evaluation are reviewed. The process of the handoff as it relates to
clinical interactions is discussed and the weaknesses in communication
arising from handoff failures in the operative and critical care environments
are examined. The discussion follows by looking at the influences of cur¬
rent medical culture, emerging technology, and changing care environ¬
ments and their impact on communication behaviors and resultant effect
on patient outcomes. A detailed cost analysis of the charges incurred for
both standard and escalated care required for the case is followed by a dis¬
cussion of the economic basis for improving clinical communication and
patient safety using the SBAR tool.
How to Evaluate Whether a New Technology in the Operating Room
is Cost-Effective from Society s Viewpoint 745
Jonathan M. Tan and Alex Macario
The hospital operating room is one of the most important and costly envi¬
ronments in health care. Given the current reductions in reimbursement
and limited resources, hospital administrators and operating room man¬
agers have to be careful about adopting new technologies into the operat¬
ing room. Operating rooms must balance the improved care a new
technology can provide with its additional costs. Economic analysis pro¬
vides systematic methods to guide decisions by quantitatively assessing
the value of a new technology.
Ten Tips in Providing Value in Operating Room Management 765
Mitchell H. Tsai
This article examines the impact of effective operating room (OR) manage¬
ment from the perspective of an anesthesiologist and is intended to update
the busy practitioner on current concepts. It begins by considering the daily
operational management of the OR and progresses to a broader view of
tactical and strategic planning. These concepts are organized into a list
of 10 tips that have evolved for two reasons: increasing numbers of hospital
administrators are focusing their attention on OR profitability; and the OR is
a primary source of revenue in many hospitals. In an era when more and
more facilities are hiring physicians to be medical directors for the OR, an¬
esthesiologists should be at the helm when it comes to OR management.
Interaction Between Anesthesia Technology Innovators, Manufacturers,
and Purchasers 785
Bruce Gingles
Levels of public and private funding for anesthesia services and health re¬
search reflect their value to the patient, the payor, and society. Improve¬
ments in anesthesia depend heavily on technologic advances. This article
presents practical realistic assessment of medical innovation and barriers
to its commercialization. Innovation by either academia or industry working
in isolation is not possible. Innovation, education, and commercialization
are interdependent and contribute to medical progress only when applied
as a whole. Subordinating productive relationships between anesthesiolo¬
gists and industry representatives to concerns of conflict of interest poten¬
tially puts diminishes the value of medical services, including anesthesia.
Index 793
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| series | Anesthesiology clinics |
| series2 | Anesthesiology clinics |
| spelling | Value based anesthesia guest ed. Alex Macario Value-based anesthesia Philadelphia, Pa. Saunders 2008 XIV S., S. 614 - 801 Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Anesthesiology clinics 26,4 Includes bibliographic references and index Anesthesia services / Cost effectiveness Medical care / Cost effectiveness Anesthesiologists / Practice Operating rooms / Administration Anesthesiologists - Practice Anesthesia services Cost effectiveness Anesthesiology economics Costs and Cost Analysis Medical care Cost effectiveness Operating rooms Administration Quality Assurance, Health Care Anästhesie (DE-588)4001833-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Anästhesie (DE-588)4001833-7 s b DE-604 Macario, Alex Sonstige oth Anesthesiology clinics 26,4 (DE-604)BV021538977 26,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017066620&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Value based anesthesia Anesthesiology clinics Anesthesia services / Cost effectiveness Medical care / Cost effectiveness Anesthesiologists / Practice Operating rooms / Administration Anesthesiologists - Practice Anesthesia services Cost effectiveness Anesthesiology economics Costs and Cost Analysis Medical care Cost effectiveness Operating rooms Administration Quality Assurance, Health Care Anästhesie (DE-588)4001833-7 gnd |
| subject_GND | (DE-588)4001833-7 (DE-588)4143413-4 |
| title | Value based anesthesia |
| title_alt | Value-based anesthesia |
| title_auth | Value based anesthesia |
| title_exact_search | Value based anesthesia |
| title_full | Value based anesthesia guest ed. Alex Macario |
| title_fullStr | Value based anesthesia guest ed. Alex Macario |
| title_full_unstemmed | Value based anesthesia guest ed. Alex Macario |
| title_short | Value based anesthesia |
| title_sort | value based anesthesia |
| topic | Anesthesia services / Cost effectiveness Medical care / Cost effectiveness Anesthesiologists / Practice Operating rooms / Administration Anesthesiologists - Practice Anesthesia services Cost effectiveness Anesthesiology economics Costs and Cost Analysis Medical care Cost effectiveness Operating rooms Administration Quality Assurance, Health Care Anästhesie (DE-588)4001833-7 gnd |
| topic_facet | Anesthesia services / Cost effectiveness Medical care / Cost effectiveness Anesthesiologists / Practice Operating rooms / Administration Anesthesiologists - Practice Anesthesia services Cost effectiveness Anesthesiology economics Costs and Cost Analysis Medical care Cost effectiveness Operating rooms Administration Quality Assurance, Health Care Anästhesie Aufsatzsammlung |
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