The Perioperative Surgical Home for the Geriatric Population
The perioperative surgical home while in its infancy in many ways is a concept trialed under different names for decades with the goals being to improve patient outcomes and satisfaction while decreasing costs. This can be achieved by decreasing variability, utilizing multidisciplinary teams, coordinating care across the continuum, and engaging the patient in the process. Geriatric patients serve as the prime population to benefit from these concepts given their increased risk and cost due to their comorbidities, increased concentration on quality of life, and the magnitude of impact of a “simple procedure.” With only increasing operative and nonoperative procedures being performed in these patients, development of rigorous programs utilizing concepts of the PSH will improve care into the future.
KeywordsPerioperative Surgical Home PSH Enhanced Recovery After Surgery ERAS Geriatric Outcome improvement Surgical outcomes Cost containment
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