{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:40:00Z","timestamp":1780580400479,"version":"3.54.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In many cases, outpatient surgical treatment of benign diseases of the uterus has advantages over inpatient care. This has been demonstrated by the healthcare situation in other countries. However, the prerequisite for the provision of outpatient services is that this does not lead to any impairment in the quality of care or of patient safety. The ultimate goal should not be to reduce costs but rather to maintain and, ideally, improve the quality of care. This requires that services are not just defined by the surgical procedure but also by the entire treatment chain, including, for example, psychosocial support, and are remunerated accordingly. It is particularly worrying that the final decision as to whether an outpatient operation is possible is not the responsibility of the operating unit, but of the \u201cMedizinischer Dienst,\u201d with the corresponding options and threats of sanctions. This situation is unique internationally and requires a paradigm shift. Furthermore,\n          structural prerequisites must be maintained which currently only exist inadequately in Germany. Since a substantial proportion of planned outpatient operations require immediate or secondary inpatient treatment, there must be a barrier-free transition between the outpatient and inpatient sectors. This will require the creation of networks between outpatient service providers and one or more hospitals that are equipped and competent to manage even complex complications. It is important to create structures that, with intensive involvement of the operating unit, include adequate preoperative evaluation and patient education as well as needs-oriented postoperative care at home. The current separation of sectors is a significant hinderance. Moreover, when expanding and promoting outpatient surgery, the aspect of training and further education of specialist staff must be taken into account, as well as cross-sectoral quality assurance.<\/jats:p>\n                  <jats:p>Based on a review of the international literature, this article presents 13 recommendations for adequate structures when providing outpatient services which should serve as a prerequisite for the greatest possible guarantee of patient safety.<\/jats:p>","DOI":"10.1055\/a-2376-9748","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T18:48:12Z","timestamp":1727808492000},"page":"920-927","source":"Crossref","is-referenced-by-count":3,"title":["Structural Requirements for the Outpatient Treatment of Benign Diseases of the Uterus"],"prefix":"10.1055","volume":"84","author":[{"given":"Cosima","family":"Brucker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Frauenheilkunde und Geburtshilfe, Universit\u00e4tsklinik der Paracelsus Medizinischen Privatuniversit\u00e4t, Klinikum N\u00fcrnberg, N\u00fcrnberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Dimpfl","sequence":"additional","affiliation":[{"name":"Frauenheilkunde und Geburtshilfe, Klinikum Kassel, Gesundheit Nordhessen, Kassel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anton","family":"Scharl","sequence":"additional","affiliation":[{"name":"Onkologische Fachklinik Bad Trissl, Oberaudorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-662-62708-2_1","volume-title":"Versorgungsprozesse und das Zusammenspiel der Sektoren im internationalen Vergleich","author":"V Struckmann","year":"2021"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1111\/anae.14639","article-title":"Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery","volume":"74","author":"CR Bailey","year":"2019","journal-title":"Anaesthesia"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1016\/s0952-8180(02)00371-9","article-title":"Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs","volume":"14","author":"BA Coley KC Williams","year":"2002","journal-title":"J Clin Anesth"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e177","DOI":"10.1097\/PTS.0000000000000311","article-title":"Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qualitative Analysis of Veterans Health Administration Staff Perceptions","volume":"17","author":"HJ Mull","year":"2021","journal-title":"J Patient Saf"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"102804","DOI":"10.1016\/j.jogoh.2024.102804","article-title":"Minimally invasive outpatient hysterectomy for a benign indication: A systematic review","volume":"53","author":"SL Emery","year":"2024","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"ref10","first-page":"52","article-title":"Positionspapier zur Ambulantisierung der operativen Medizin","volume":"64","author":"J Blohmer","year":"2023","journal-title":"Frauenarzt"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1002\/ijgo.12023","article-title":"Systematic review of same-day discharge after minimally invasive hysterectomy","volume":"136","author":"M Korsholm","year":"2017","journal-title":"Int J Gynaecol Obstet"},{"key":"ref12","first-page":"23","article-title":"Ambulatory Surgery. 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Results of a meta-analysis","volume":"17","author":"C Chapron","year":"2002","journal-title":"Hum Reprod"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1111\/j.1525-1438.2007.01045.x","article-title":"Laparoscopy versus laparotomy for benign ovarian tumor: a systematic review and meta-analysis","volume":"18","author":"LR Medeiros","year":"2008","journal-title":"Int J Gynecol Cancer"},{"issue":"08","key":"ref15","doi-asserted-by":"publisher","first-page":"CD003677","DOI":"10.1002\/14651858.CD003677.pub5","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","author":"JWM Aarts","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.jmig.2020.08.006","article-title":"Enhanced Recovery and Surgical Optimization Protocol for Minimally Invasive Gynecologic Surgery: An AAGL White Paper","volume":"28","author":"R Stone","year":"2021","journal-title":"J Minim Invasive Gynecol"}],"container-title":["Geburtshilfe und Frauenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2376-9748.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T10:57:42Z","timestamp":1764241062000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2376-9748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":12,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10,1]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2376-9748","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0016-5751","1438-8804"],"issn-type":[{"value":"0016-5751","type":"print"},{"value":"1438-8804","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}