Optimization of Health Expenditure in Major Surgery: Impact of a Mixed, Clinical and Ethnographic Approach in the Model of Liver Surgery
a new dimension of the activity expected of physicians is to improve the safety of care on
the one hand and the control of health care costs on the other.
key measures to help them are the publication of national recommendations, assessment of
actual practices and the incentive to activity.
Internationalwide recent and concordant data suggest that
- quality and security of care, after an initial improvement, are going to stall
- scientific recommendations are rarely validated by an impact analysis and are not
- clinical data collected within an administrative framework are unreliable and too
- the evaluation, especially in the surgical field, is based on indicators sometimes
irrelevant and often unclear
Observational Model: Cohort, Time Perspective: Prospective
overall postoperative length of stay
the overall postoperative length of stay is defined as the hospitalization between the surgery and patient's discharge. This period includes the readmission for at least 24 hours in case of outcomes related to the surgery.
during the 3 months after the surgery
France: Commission nationale de l'informatique et des libertés