Abstract
Purpose
The growing pressure to rationalize costs in the healthcare system demands the development of new healthcare models aimed at allowing patients to receive the best treatment, without ignoring the rising costs.
Methods
In the Healthcare Unit 2 located in the Abruzzo region in Italy, a new model of intensified care surgical department was designed in January 2013. The department was based on the selection of the degree of patient disease. Patients requiring a medium-low degree surgery were treated in the peripheral unit, in the Ortona hospital, while more complex surgical procedures, most cancer cases (including stomach, liver, pancreas, colon-rectum or multi-organ resections), were performed in the central unit in the Chieti hospital.
Results
The value of production at the peripheral unit, in Ortona, increased by 299.4% along with an increase in discharges of 112.6%, with an average DRG weight from 1.02 to 1.45. At the central unit, in Chieti, the average DRG weight produced was 3.328. In relation to quality assessment, pancreatic surgery morbidity was 27.0% and mortality was 1.7 % due to resection and 2.2% for other causes. Likewise, for colon-rectal surgery, a global morbidity of 35.0% and anastomotic leakage of 3.9% was seen.
Conclusions
The 24-month preliminary results show that new models of intensified care surgical departments can be created. In addition, results clearly show that such model significantly improves both services and surgical results. This original model allows optimal use of resources favouring both service quality and patient satisfaction.
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Abbreviations
- LEA:
-
Basic care levels
- ICSD:
-
Intensified care surgical department
- DRG:
-
Diagnosis-related groups,
- GICO:
-
Interdisciplinary cancer care group.
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All authors declare no conflict of interest. For the present study, no grant were received by any of the authors. This article does not contain any studies with human participants or animals performed by any of the authors. For this type of study, formal consent is not required.
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di Sebastiano, P., Grottola, T., Maysse, A. et al. A surgical department for intensified care. Langenbecks Arch Surg 402, 475–479 (2017). https://doi.org/10.1007/s00423-016-1523-z
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DOI: https://doi.org/10.1007/s00423-016-1523-z