While ambulatory surgery is set to save health insurance, the question is whether it can be a real source of savings.
It is Agnès Buzyn who makes it one of the flagship measures of its "health insurance rescue" plan: the promotion of ambulatory surgery ... In a nutshell: morning and evening at home, in between, a surgical intervention. You might think it's anecdotal. However, in the United States, 80 to 90% of surgeries are done this way. Less than one in two in France. And soon 70%?
Inescapable evolution seems it, but finance side, it must be seen twice. Few studies refer to the subject, and the majority of reports conclude, however, that the outpatient practice is more cost-effective than conventional surgery. But it would be without taking into account other costs hidden at first: for example the ambulance, the home help or a side effect of the outpatient: the need for more staff to care for heavier patients who now occupy the services.
Are we not sacrificing the health of patients on the altar of the economy?
We could have some form of doubt indeed ... However, the most recent surveys, regardless of the country, are unanimous: patients who have benefited from outpatient surgery are satisfied and ready to start again. And doctors who are specialists even say that we must sweep the economic arguments, to highlight the improvement in quality, at all levels of the act: anesthetic drugs with fewer side effects; surgeons who had to put their technique back into play, favor small scars and use cameras inside the body. Finally, shortening the deadlines requires the establishment of an efficient organization based on anticipation, but also the information of patients, too long neglected in France, explaining the reluctance of some to offer to their patients.
The ambulatory is not only about small surgical procedures
This surgery is not prohibited any intervention, even for several hours and under general anesthesia: for example, removal of the gallbladder, kidney stones, certain operations of breast cancer, thyroid, complicated surgery of the knee , shoulder ... There is a goal that may seem incredibly ambitious: less than 1% of operated only, ultimately, should stay overnight in the hospital. A speech that makes many doctors cringe, but hospital management has decided, she recommends the application of this technique as often as possible! Not insignificant argument, the rate of nosocomial infections, these infections that are caught in the hospital and cost us more than 10,000 deaths per year, are divided by three.