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The Evolution of Surgery
Pages 1-6
This book presents different patient-oriented perspectives from surgeons, economic evaluation and management researchers, and business companies active in the healthcare sector, striking a balance between the appropriateness/effectiveness of treatment and efficiency/cost. It does not include technical surgical details, but instead provides the necessary knowledge regarding different groups of patients to help economic and management researchers make accurate evaluations.
Although partially based on the specific case of abdominal wall surgery in the Italian health system, the book defines a model that can, with the necessary adaptations, be applied in other national contexts. It also analyzes different reimbursement systems and methods of data collection. This approach supports the evolution from evidence-based medicine (EBM) to the future of real-world data (big data analysis). Further, it highlights the critical issue of “silos” reimbursement, which is the pillar of DRG, and proposes methodology to evaluate the direct and indirect benefit and costs of surgery (for example quality of care, costs incurred in cases of surgical complications due to the use of inappropriate, low-cost material or due to surgical procedure.
It is a valuable resource for clinicians, surgeons, policymakers and managers in the field.
The Evolution of Surgery
Pages 1-6
Anatomy of the Abdominal Wall
Pages 9-20
Clusters of Pathology and Interventions
Pages 21-35
Unit of Wall Surgery
Pages 37-41
Organization and Certification of Abdominal Wall Surgery
Pages 43-49
Biomaterials in Abdominal Wall Surgery
Pages 51-61
Care Settings
Pages 63-69
Preventing Incisional Hernias: Closure of Abdominal Wall, Follow-Up in Abdominal Surgery
Pages 71-83
State-of-the-Art of Abdominal Wall Surgery in Italy: Coding, Reimbursement, Hospitalisations and Expenditure for Surgical Meshes
Pages 87-104
Presurgical Hidden Costs: Imaging, Assessment Clinic
Pages 105-116
Post-Surgical Hidden Cost: Neuralgia
Pages 117-126
Post-surgical Hidden Costs: Infections
Pages 127-139
Basic Principles of Health Technology Assessment, Economic Evaluation, and Costing of Healthcare Programs
Pages 141-156
Economic Modeling and Budget Impact Analysis in Abdominal Surgery: The Case of Mesh
Pages 157-166
How to Measure Outcomes in Surgery
Pages 169-182
Present and Future of EBM in Inguinal Hernia Repair and Abdominal Wall Reconstruction
Pages 183-190
Health Technology Assessment in Abdominal Wall Surgery
Pages 191-198
Stakeholders’ Opinion
Pages 201-206
Evolution of Abdominal Wall Surgery in Non-developed Countries
Pages 207-212
How Social Patterns Affect the Development of Science and Medicine
Pages 213-228
Ferrying to the Future
Pages 231-235
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