Greco D.P., Borgonovi E. (eds.) Abdominal Wall Surgery: How Reimbursement Systems Can Change Surgical Evolution

Springer, 2019. — 234 p. — ISBN: 978-3-030-02425-3This 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
Abdominal Wall
Anatomy of the Abdominal Wall
Clusters of Pathology and Interventions
Unit of Wall Surgery
Organization and Certification of Abdominal Wall Surgery
Biomaterials in Abdominal Wall Surgery
Care Settings
Preventing Incisional Hernias: Closure of Abdominal Wall, Follow-Up in Abdominal Surgery
Economics
State-of-the-Art of Abdominal Wall Surgery in Italy: Coding, Reimbursement, Hospitalisations and Expenditure for Surgical Meshes
Presurgical Hidden Costs: Imaging, Assessment Clinic
Post-Surgical Hidden Cost: Neuralgia
Post-surgical Hidden Costs: Infections
Basic Principles of Health Technology Assessment, Economic Evaluation, and Costing of Healthcare Programs
Economic Modeling and Budget Impact Analysis in Abdominal Surgery: The Case of Mesh
Outcomes
How to Measure Outcomes in Surgery
Present and Future of EBM in Inguinal Hernia Repair and Abdominal Wall Reconstruction
Health Technology Assessment in Abdominal Wall Surgery
Future Perspectives
Stakeholders’ Opinion
Evolution of Abdominal Wall Surgery in Non-developed Countries
How Social Patterns Affect the Development of Science and MedicineFerrying to the Future