PDF(Pubmed)
Abstract：
Knee replacements are an increasingly common procedure in the U.K. National Health Service (NHS). Importantly, the pathway for such procedures represents a prime opportunity to leverage digital technology, modernize and streamline the approach to care, and free up resources.
UNASSIGNED: In this 21-patient pilot study, we assessed the impact of implementing a digital day-case pathway for knee replacement surgery at the Calderdale and Huddersfield NHS Foundation trust.
UNASSIGNED: Fourteen (67%) of the 21 eligible patients were treated as day cases, with an average length of stay of 8.8 hours. The pilot data were utilized to model the potential impact of implementing a digital day-case program more widely across the trust. This model showed increased efficiency over the entire episode of care, with reductions in physiotherapy appointments, preoperative visits, hospital days, and face-to-face consultations. Not only would these improvements free up capacity, but they would also result in an estimated saving of £240,540 to the trust while reducing the CO2 footprint of knee replacements by 119,381 kg CO2 emitted. A sensitivity analysis revealed that, even with substantial variation of several key variables within the pathway, a trust-wide digital day-case program would still be a cost-saving measure.
UNASSIGNED: Overall, the present study supports the growing notion that digital technology can facilitate the transformation of care pathways, resulting in greater efficiency and financial savings for health-care providers while reducing the time patients spend in the hospital.
UNASSIGNED: Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
UNASSIGNED: In this 21-patient pilot study, we assessed the impact of implementing a digital day-case pathway for knee replacement surgery at the Calderdale and Huddersfield NHS Foundation trust.
UNASSIGNED: Fourteen (67%) of the 21 eligible patients were treated as day cases, with an average length of stay of 8.8 hours. The pilot data were utilized to model the potential impact of implementing a digital day-case program more widely across the trust. This model showed increased efficiency over the entire episode of care, with reductions in physiotherapy appointments, preoperative visits, hospital days, and face-to-face consultations. Not only would these improvements free up capacity, but they would also result in an estimated saving of £240,540 to the trust while reducing the CO2 footprint of knee replacements by 119,381 kg CO2 emitted. A sensitivity analysis revealed that, even with substantial variation of several key variables within the pathway, a trust-wide digital day-case program would still be a cost-saving measure.
UNASSIGNED: Overall, the present study supports the growing notion that digital technology can facilitate the transformation of care pathways, resulting in greater efficiency and financial savings for health-care providers while reducing the time patients spend in the hospital.
UNASSIGNED: Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
摘要：
在英国国家卫生服务（NHS）中，膝关节置换是一种越来越普遍的手术。重要的是,这种程序的途径代表了利用数字技术的主要机会，现代化和简化护理方法，释放资源。
未经证实：在这项21名患者的试点研究中，我们评估了在Calderdale和HuddersfieldNHS基金会信托基金中实施膝关节置换手术数字化日间路径的影响.
UNASSIGNED：21名符合条件的患者中有14名（67%）被视为日间病例，平均逗留时间为8.8小时。试点数据被用来模拟在整个信托中更广泛地实施数字日常案例计划的潜在影响。这个模型在整个护理过程中显示出更高的效率，随着物理治疗预约的减少，术前访视,医院的日子,和面对面的协商。这些改进不仅释放了容量，但它们也将为信托基金节省240,540英镑，同时将膝关节置换手术的二氧化碳排放量减少119,381千克二氧化碳排放量。敏感性分析显示,即使路径中几个关键变量有很大的变化，整个信任范围的数字日常案例计划仍然是一种节省成本的措施。
未经评估：总的来说，本研究支持越来越多的观点，即数字技术可以促进护理途径的转变，从而提高医疗保健提供者的效率和节省资金，同时减少患者在医院花费的时间。
未经批准：治疗级别II。有关证据级别的完整描述，请参阅作者说明。
未经证实：在这项21名患者的试点研究中，
UNASSIGNED：21名符合条件的患者中有14名（67%）被视为日间病例，
未经评估：总的来说，
未经批准：治疗级别II。
