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PRO-CON debate: Should the definition of Day Surgery in Scandinavia be extended to <24hrs ward?
JOHAN RAEDER Conclusion : NO !! We do not want: Incentive for staying in hospital when not needed Confusion about: terms – economy- reimbursement Increased complexity, increased costs
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Definitions (rest of the world???)
Outpatient: - Could be sent home right away Ambulatory surgery /Day Surgery: - need some surveillance afterwards -general/regional anaesthesia -surgical procedure In-patient: - Staying overnight in hospital (≠ hotel)
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Day surgery in Norway – New definition?
Inpatients (34%) «True» Day Surgery (50%) ?? Some patients previously discharged same day will stay overnight!
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Pro Ambulatory Care ( success criteria):
Better information Less delays, less post-ponements Better mobilization Less hospital, less “feeling ill” environments Less hospital infections Less reduction in mental function ”Home is best!” (…if you feel safe and comfortable!)
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