Ambulatory surgery in Spain |
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| Affiliation: | 1. Day Surgery Unit (Hospital El Tomillar), Hospital Universitario Valme, Sevilla, Spain;2. Subdirección General de Epidemiologı́a, Promoción y Educación para la Salud, Ministerio de Sanidad y Consumo, Madrid, Spain;1. Julius Wolff Institute, Charité – Universitätsmedizin, 13353 Berlin, Germany;2. Materials Engineering, Technische Universität Berlin, 10623 Berlin, Germany;3. Helmholtz-Zentrum Geesthacht, 21502 Geesthacht, Germany;4. Department of Materials Science and Engineering, Technion – Israel Institute of Technology, 32000 Haifa, Israel;1. Kansai Rosai Hospital Cardiovascular Centre, Inabaso, Amagasaki, Hyogo, Japan;2. Department of Metabolic Medicine, Osaka University Graduate School of Medicine, Osaka, Japan;1. Postgraduate Year 1 Resident, Department of Oral and Maxillofacial Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA;2. Attending Oral and Maxillofacial Surgeon, Department of Plastic and Oral Surgery, Boston Children''s Hospital, Boston, MA;3. Senior Research Associate, American Association of Oral and Maxillofacial Surgeons, Rosemont, IL;4. Associate Professor, Harvard School of Dental Medicine; Director, Center for Applied Clinical Investigation, Massachusetts General Hospital, Boston, MA;1. Division of Vascular Surgery, Pennsylvania State University College of Medicine, Hershey, Pa;2. Office of Medical Education, Pennsylvania State University College of Medicine, Hershey, Pa;3. Department of Surgery, Sinai Hospital of Baltimore, Baltimore, Md;1. Joint Implant Surgeons, Inc, New Albany, OH;2. Mount Carmel Health System, New Albany, OH;3. Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH |
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| Abstract: | In Spain, ambulatory surgery (AS) is a form of surgical care provision covered by the services delivered by the National Health System (NHS). In order to achieve an approximation of the organisation of AS, an anonymous questionnaire was sent to all Spanish hospitals (public and private) in 1995. AS surgery was carried out in 57% of the respondent hospitals (out of these, 62% were hospitals of the NHS). Of hospitals, 54% not performing day surgery were planning to set it up in the immediate future. The most common way of providing the service is by integrating the day patients with elective cases from the surgical department. Most of the ambulatory units are hospital-based; only one free-standing unit was identified. Lack of infrastructure was claimed as the main obstacle for initiating day surgery programmes. A wide expansion of AS in Spain needs more structural modifications of the traditional hospital organisation to allow the establishment of well designed units for the provision of high quality care. |
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