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Plastic Surgery in Outpatient Care/Ambulatory Care Advantages and Disadvantages

PlasticSurgery in Outpatient Care/Ambulatory Care: Advantages andDisadvantages

PlasticSurgery in Outpatient Care/Ambulatory Care: Advantages andDisadvantages

Ambulatorycare or outpatient care is care provided in ambulatory surgicalcenters. It involves providing medical care services includingconsultation, observation, intervention, treatment and rehabilitationservices outside the walls of the hospitals. According to Foxet al. (2015)ambulatory surgical centers have increasingly become common in theU.S.Fox et al (2015)estimates that about 25 million surgeries are undertaken in over5,000 advanced ambulatory surgical centers in the U.S. Housmanand Al-Amin (2013)indicatethat the rise of the ambulatory surgical centers is largely driven bypatient preference for outpatient services and other factorsincluding shorter hospital stays, technological advances in surgery,the patients’ over-persistent quest for reduced costs. In view ofHousmanand Al-Amin (2013)physicians are increasingly moving away from the traditional hospitalsetting in favor of the ambulatory surgical center model because ofthere are techniques and technologies that allow for faster, safertreatment. Housmanand Al-Amin (2013)hold that physicians are being motivated by factors such as thecontrol they have over their ambulatory surgical centers to invest inambulatory centers. Housmanand Al-Amin (2013)argue that ambulatory surgical centers that are physician-owned givenphysician greater control over scheduling, operating room-set up aswell as surgical practices. This paper explores the advantages anddisadvantages of plasticSurgery in outpatient care/ambulatory care.

PlasticSurgery in Ambulatory surgical Centers

Plasticsurgery performed in an ambulatory surgery center is likely to followhighly regulated conditions. The surgical procedure in the outpatientsetting will be elective in that it will be done to the populationthat does not use the health facilities provided by the government(Housman, &amp Al-Amin, 2013).

Thistype of surgery benefits from compelling economics. Plastic surgeryin ambulatory care offers patients a reduced price for the medicalprocedure. The reduced prices are attributed to the low structure ofcosts. The cost of plastic surgery done in ambulatory care is cheaperthan plastic surgery performed in the common hospital setting.Plastic surgery done in ambulatory care offers the client’s anapproach that is focused. As such, it increases the efficiency in thesurgery (Housman&amp Al-Amin, 2013).

Patientshave some sense of the consumer appeal. A number of ambulatory caresettings are free standing. Some of the outpatient settings are foundin suburb regions. This allows the patient easy access outpatientsurgery settings. Similarly, schedules of ambulatory care are wellmaintained due to the minimal chances that an emergency surgery willpreempt the scheduling of the procedure.

Plasticsurgery done in ambulatory care is focused, specialized and performedwith increased quality. It appears difficult to validate the carequality of plastic surgery in ambulatory care setting since theambulatory settings are not required to offer reports of comparabledata outcomes. However, it is apparent that the plastic surgery donein ambulatory care setting will be targeted at the specific procedurethat permit the doctors to have their craft perfected hencedelivering higher quality of results to the patients(Housman, &amp Al-Amin, 2013).

Further,plastic surgery done in outpatient setting is considered targeted andprivate. It is difficult to maintain privacy in inpatient centers.This is because patient in inpatient care center is likely to share aroom with the nurse and other healthcare providers. On the contrary,an ambulatory care setting, the nurses, surgeon, and facility will bespecific for plastic surgery. Again, the ambulatory setting is in aconvenient region making it less likely to move the patient from oneregion to another. As such, privacy is maintained because the patientremains in the outpatient setting(Housman &amp Al-Amin, 2013).

Thepatients also enjoy a shorter waiting time when they go to anambulatory setting for plastic surgery. In a hospital setting, thepatient is likely to wait for longer hours. The surgeons will takesome time to schedule the operating room, and bring together thesupport staff, and doctors before the surgery begins. The surgeonwill also wait for the administration of the hospital to monitor theentire process. In an ambulatory setting, there is minimum wait timeand patients are likely to enjoy same day surgery.

Disadvantagesof plastic surgery in ambulatory care setting

Plasticsurgery undertaken in ambulatory care presents several advantages.First it is worth noting that the plastic surgery cannot be performedovernight due to lack of an overnight facility. Importantly,ambulatory plastic surgeries are often performed in outpatientsettings. As such, in case a patient requires spending the entirenight in locations that are supervised, many ambulatory setting haveno facilities to facilitate the overnight stay in the hospital. Inmost cases, the ambulatory care setting will organize for thetransfer of the patient to a hospital around that region for thenight observation (Hair,Hussey, &amp Wynn, 2012).

Thereare cases when complications and emergency cases may come up in anambulatory plastic surgery session. Such cases will call fortransfers. Even though, it may be a rare occurrence, a plasticsurgery complication happen, and in some cases a medical emergency.In this case, it will call upon for a faster transfer to a hospitalaround the region. This is so because, many ambulatory care settings,may not be prepared for all emergency types. Surgeons will be taskedwith the role of transferring the patient to a hospital. Theambulatory care management is tasks with transferring patients. Theambulatory care setting puts in place all the necessary equipment foremergencies (Hair,Hussey, &amp Wynn, 2012).

Thereare some patients who may not qualify for the plastic surgery in anambulatory setting due to specific complications, medical issues, orprevious health conditions that increase the risk of the patient insurgery. The surgeon will take some time to explain to the patienthis decision, and why the surgery will not be done in the ambulatorysetting (Hair,Hussey, &amp Wynn, 2012).

Itis, therefore, true to say that plastic surgery done in an ambulatorycare setting has both advantages and disadvantages. This paper haspresented more advantages than the disadvantages for plastic surgerydone in ambulatory care setting. It is advisable that a patient looksat both the merits and demerits of surgery done in this settingbefore making a decision to go for the surgery. It is also true tosay that the patients, providers, and payers will benefit from theplastic surgery done in ambulatory care. It is possible for thepayers to make negotiations regarding favorable rates for the medicalprocedures done. Some of the providers of the plastic surgery inambulatory setting own the ambulatory care settings and obtaineconomic gains especially when they are able to take economic stakesduring the surgery.


Fox,J.P., Vashi, A.A., Ross, J., &amp Gross, C.P. (2015).Hospital-based, acute care following ambulatory surgery centerdischarge. Surgery, 155(5): 743-753.

Housman,M., &amp Al-Amin, M. (2013). Dynamics of ambulatory surgery centersand hospitals market entry. Health Serv Manage Res, 26(2-3): 54-64

Hair,B., Hussey, P., Wynn, B. (2012). A comparison of ambulatoryperioperative times in hospitals and freestanding centers. AmJ Surg, 204(1): 23–27.