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1Division of Anaesthesia, Department of Acute Care Medicine, Geneva University Hospitals-University of Geneva, Geneva, Switzerland; Health Services Management and Research Unit, Department of Epidemiology & Preventive Medicine, Monash University, The Alfred Centre, Melbourne, Victoria, Australia.
Abstract:
A recent study by Fowler and colleagues identified increased utilisation of healthcare resources among patients, mostly from deprived social areas with chronic diseases, undergoing emergency and high-risk surgery. Reasons for these findings include the intrinsic risk of surgery, postoperative complications, and the need for chronically ill patients to have their usual treatment resumed after surgery. To improve the overall outcome of surgery in this category of patients, a number of elements in the process of care should be adjusted. This includes minimising the number of emergency procedures and enhancing collaboration between all healthcare professionals inside and outside hospitals.
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