TY - JOUR
T1 - Medical and surgical co-management – A strategy of improving the quality and outcomes of perioperative care
AU - Fierbinţeanu-Braticevici, Carmen
AU - Raspe, Matthias
AU - Preda, Alin Liviu
AU - Livčāne, Evija
AU - Lazebnik, Leonid
AU - Kiňová, Soňa
AU - de Kruijf, Evert Jan
AU - Hojs, Radovan
AU - Hanslik, Thomas
AU - Durusu-Tanriover, Mine
AU - Dentali, Francesco
AU - Corbella, Xavier
AU - Castellino, Pietro
AU - Bivol, Monica
AU - Bassetti, Stefano
AU - Barreto, Vasco
AU - Ruiz, Eduardo Montero
AU - Campos, Luis
PY - 2019/3
Y1 - 2019/3
N2 - With the increase of ageing population, rates of chronic diseases and complex medical conditions, the management of high-risk surgical patients is likely to become a great concern in most countries. Considering all these factors, it is certainly rational and intuitive that internists should be included into a collaborative model of medical and surgical co-management, where their multi-potentiality and synthesis capacity require them to coordinate the multidisciplinary team and to be the leading agent of change. In this regard, our aim was to present the official position and approach of the Working Group on Professional Issues and Quality of Care of the European Federation of Internal Medicine (EFIM), for implementation of this strategy of care, encouraging internists to assume an important role and to provide continuity of multidisciplinary care, from the decision to operate through to rehabilitation and recovery. Moving from the traditional model of medical care of the surgical patients to the co-management model, from a reactive simple consultation to a new pro-active continued service, may optimize the quality and perioperative care, improving the survival, shortening hospital stays, replacing the old strategy of late and complication treatment to an early and preventive one.
AB - With the increase of ageing population, rates of chronic diseases and complex medical conditions, the management of high-risk surgical patients is likely to become a great concern in most countries. Considering all these factors, it is certainly rational and intuitive that internists should be included into a collaborative model of medical and surgical co-management, where their multi-potentiality and synthesis capacity require them to coordinate the multidisciplinary team and to be the leading agent of change. In this regard, our aim was to present the official position and approach of the Working Group on Professional Issues and Quality of Care of the European Federation of Internal Medicine (EFIM), for implementation of this strategy of care, encouraging internists to assume an important role and to provide continuity of multidisciplinary care, from the decision to operate through to rehabilitation and recovery. Moving from the traditional model of medical care of the surgical patients to the co-management model, from a reactive simple consultation to a new pro-active continued service, may optimize the quality and perioperative care, improving the survival, shortening hospital stays, replacing the old strategy of late and complication treatment to an early and preventive one.
KW - Co-management
KW - Internal medicine
KW - Peri-operative care
KW - Position paper
UR - http://www.scopus.com/inward/record.url?scp=85056455818&partnerID=8YFLogxK
U2 - 10.1016/j.ejim.2018.10.017
DO - 10.1016/j.ejim.2018.10.017
M3 - Article
C2 - 30448097
AN - SCOPUS:85056455818
VL - 61
SP - 44
EP - 47
JO - European Journal Of Internal Medicine
JF - European Journal Of Internal Medicine
SN - 0953-6205
ER -