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Preoperative Consultations.

Stephan R Thilen1, Duminda N Wijeysundera2, Miriam M Treggiari3

  • 1Department of Anesthesiology & Pain Medicine, 325 Ninth Avenue, Box 359724, Seattle, WA 98104, USA.

Anesthesiology Clinics
|March 2, 2016
PubMed
Summary
This summary is machine-generated.

Preoperative consultation benefits high-risk surgical patients. This essential service should be coordinated, accessible, and evolve into a value-based offering, supported by new payment models.

Keywords:
Delivery of health careOrganization and administrationPerioperative carePerioperative periodPhysician’s practice patternPreoperative carePreoperative periodReferral and consultation

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Area of Science:

  • Healthcare Management
  • Surgical Services
  • Patient Care Coordination

Background:

  • Preoperative consultation is a key intervention for surgical patients.
  • Benefits are most pronounced in intermediate-to-high-risk individuals undergoing major procedures.
  • Current consultation rates are rising, but practice variations exist.

Purpose of the Study:

  • To examine the role and optimal implementation of preoperative consultations.
  • To highlight the need for a coordinated and accessible preoperative assessment process.
  • To discuss the evolution of preoperative consultation into a value-based service.

Main Methods:

  • Review of current practices and literature on preoperative consultations.
  • Analysis of factors influencing consultation rates and accessibility.
  • Discussion of potential impacts of evolving healthcare payment models.

Main Results:

  • Preoperative consultations offer significant benefits, particularly for higher-risk surgical patients.
  • There is considerable variation in consultation utilization across practices.
  • Effective integration requires coordination among anesthesia, surgical, and postoperative care teams.

Conclusions:

  • Preoperative consultation is a vital, value-based service that requires organized implementation.
  • Accessibility for all involved care teams is crucial for maximizing patient benefit.
  • Evolving payment structures may further encourage appropriate use of this resource.