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[The future of outpatient surgery]
1Bundesverband Ambulantes Operieren (BAO) Berlin, Joachim-Karnatz-Allee 7, 10557, Berlin, Deutschland. kontakt@deindl.org.
Urologie (Heidelberg, Germany)
|August 4, 2022
Summary
Outpatient surgery in Germany has stagnated due to underfunding and resource shortages, despite being a cost-effective patient care option. Future growth depends on political and financial support for performance-related reimbursement.
Area of Science:
- Healthcare Management
- Surgical Innovation
- Health Economics
Background:
- Outpatient surgery has been a key component of German patient care for 30 years.
- Its full potential remains unrealized, indicating a suboptimal status quo.
Purpose of the Study:
- To investigate the reasons for the stagnation in outpatient surgery development.
- To analyze the factors contributing to its current suboptimal state.
Main Methods:
- Comparative analysis of outpatient surgery data from hospitals and medical practices.
- Critical evaluation of the trends and developments in outpatient surgery.
Main Results:
- Outpatient surgery numbers peaked in 2015 and have since declined or stagnated.
- Underfunding of surgical structures and resource scarcity are primary drivers of this stagnation.
- This trend is observed independently of the surgical location (clinic vs. practice).
Conclusions:
- Outpatient surgery offers a patient-friendly, cost-effective alternative to inpatient procedures when risks are managed.
- Expanding outpatient surgery can alleviate the burden on hospitals, especially amid staff shortages.
- Political commitment to cost-covering, performance-related reimbursement is crucial for its future success and the healthcare system.
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