JMIR Publications

ABSTRACT

Background:

Shifting surgeries from the stationary to the ambulatory setting is seen as a suitable way of increasing efficiency in the health care system. A significant increase in ambulatory procedures can therefore be observed internationally – particularly in the field of orthopedics. However, the interests and needs of patients are often insufficiently taken into account in this process. The "Power-AOP" research project was initiated to identify the associated challenges in the area of patient empowerment and to develop solutions. Using the field of orthopedics as an example, it investigates how the self-determination and participation of patients can be strengthened in the context of ambulatory surgery.

Methods:

Using a mixed methods approach, (health policy) recommendations will be developed that aim to strengthen patient empowerment in the context of ambulatory surgery. The project is scheduled to run for three years and comprises six work packages with a total of ten modules. In a first step, a scoping review will be carried out to map the existing literature. This will be followed by focus groups with patients and healthcare providers to gain deeper insights into their experiences and perspectives. The results will be quantified through a questionnaire-based survey. In order to identify a suitable patient population for this survey, an analysis of claims data will be conducted beforehand. The results will then be discussed and refined in two stakeholder workshops with key players in the health care system. In the final phase, a concept will be developed that contains actionable recommendations for strengthening patient responsibility in the context of ambulatory care. Discussion: This project will help to improve the patient empowerment in the context of ambulatory surgery. This allows patients to take a more active role in the process. On the one hand, this can lead to greater satisfaction with the process, particularly among patients. On the other hand, more active participation by patients can improve outcomes and avoid unnecessary readmissions or additional treatments.