Key result
Preoperative evidence-based guidelines and shared decision making can improve surgical outcomes and patient satisfaction.
Coordinating patient care through the perioperative surgical home concept and shared decision making can improve surgical outcomes and patient satisfaction.
Supports guideline-based preoperative optimization; leaves open need for prospective trials before changing practice.
Primary care physicians and specialists are frequently involved in the care of surgical patients. Changes in reimbursement have prompted re-examination of preoperative testing and health care expenditures. Physicians have additional incentives to improve health care delivery and reduce costs. The perioperative surgical home concept involves coordinating all aspects of patient care, including behavioral modifications, during the perioperative period. Evidence-based guidelines on preoperative evaluation are available to assist practitioners in managing cardiovascular disease, and communicating surgical risks. Shared decision making in the preoperative period can improve surgical outcomes and patient satisfaction.
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Swinton et al. (1970) conducted a review in Surgical patients. Preoperative evaluation and shared decision making was evaluated. Evidence-based guidelines and shared decision making in the preoperative period can improve surgical outcomes and patient satisfaction.
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