Better in, Better Out

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Peri-operative care: Better In Better Out

For a patient, surgery can be compared to a top sport. But a large part of annual surgeries, circa 300,000, are performed on patients who do not enter the hospital in top condition. In effect, 25% of such patients have a health status that is referred to as "high risk".

Pilots have shown that improving preparation and aftercare, in terms of physical and mental health, can have positive effects. Recovery is sped up; surgery outcomes improve and complications and relapse decrease. In some cases, medical intervention can even be avoided. Presently, the opposite is often the case. Complications and mortality are higher than necessary, and many people lose functionality due to the procedure. In addition, they either do not recover, or recover slowly, to the desired independence and quality of life.

In this context, a network of organizations aim to join forces and exchange the experience gained from the affiliated pilots and interventions. The aim is to gain insight into themes like validation (business cases), shared savings and to get a handle on bottlenecks so they can be used to talk to insurers, hospitals and the Ministry of Health, Welfare and Sport about the feasibility of structural embedding and financing.

All of this will also be included in a Health Deal: a way to work with the Ministry of Health, Welfare and Sport and the coalition parties, towards solutions that have a substantial potential and that structurally implement their funding; but also, to guide the cultural change within the industry.


Royal Dutch Association for Physical Therapy