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Endoscopic Cholesteatoma Surgery
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Day surgery in Romania.

Florentina Cadariu, Alexandra Enache, Mihaela Avram

    Annali Italiani Di Chirurgia
    |January 18, 2018
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    Summary
    This summary is machine-generated.

    Day surgery is developing in Romania, with an undulating but now ascending evolution observed at the County Emergency Hospital Timisoara. International support aids its implementation, highlighting benefits for patients, hospitals, and healthcare economics.

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    Area of Science:

    • Healthcare Management
    • Surgical Innovation
    • Public Health Policy

    Background:

    • Day surgery, also known as ambulatory surgery or short hospitalization, is well-established in Western countries but nascent in Romania and Eastern Europe.
    • The implementation of day surgery in Romania began around 2000 but has faced significant challenges.
    • The County Emergency Hospital Timisoara (CEHT) serves as a case study for analyzing day surgery's evolution in Romania.

    Purpose of the Study:

    • To analyze the evolution and current status of day surgery in Romania, with a specific focus on the County Emergency Hospital Timisoara (CEHT).
    • To understand the impact of different healthcare financing models on day surgery implementation.
    • To highlight the role of international collaborations in advancing day surgery in Eastern European countries.

    Main Methods:

    • Analysis of two distinct periods in day surgery implementation at CEHT: 2007-2013 (negotiated baskets with Local Health Insurance Company) and 2014-present (national baskets negotiated with Local Health Insurance Company).
    • Review of the historical development and current trends of day surgery within CEHT.
    • Examination of initiatives by the International Association for Ambulatory Surgery (IAAS) to support day surgery in Romania.

    Main Results:

    • Day surgery at CEHT has shown an undulating evolution, characterized by initial growth, a period of stagnation, and a recent upward trend.
    • The shift in healthcare financing from local to national negotiation of surgical baskets influenced day surgery's trajectory.
    • International support, exemplified by the IAAS-sponsored "Day Surgery - Making it Happen" course, has been instrumental in fostering development.

    Conclusions:

    • Day surgery offers significant advantages, including improved patient comfort, reduced surgical risk, enhanced hospital capacity, and increased economic efficiency.
    • Despite its benefits, the widespread adoption of day surgery in Romania continues to face numerous obstacles.
    • Collaborative efforts and knowledge sharing are crucial for accelerating the implementation and development of day surgery in Romania and similar regions.