Continence management plan [Neurosurgery Wiki]

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====== Continence management plan ======

The continence self-management programme fee (CSPF) for hospitalized patients was revised in 2020 to include those receiving consistent care on an out-patient basis. We extracted candidate patients for CSPF on an out-patient basis (out-patient candidates hereafter) from those for whom-CSPF had been calculated during hospitalization at our hospital, and defined those who had undergone a medical examination related to continence care as out-patient calculation candidates. Of the 956 patients for whom CSPF had been calculated during hospitalization, 482 patients (50%) were out-patient candidates ; 275 (54%) and 169 (33%) of whom were seen in the urology and neurosurgery departments, respectively. Of the 482 out-patient candidates, 238 (49%) were out-patient calculation candidates ; 197 (83%) and 14 (6%) of whom were seen in the urology and neurosurgery departments, respectively. Forty-two and 41 of the calculation candidates were cases of benign prostatic hyperplasia and bladder cancer, respectively. The CSPF was actually processed 93 times for 78 of the 482 out-patient candidates (16%). There were various obstacles in the current system of calculating the fees to realize consistent care from hospitalization to out-patient care
((Magari T, Tomomatsu K, Okugi N, Baba K, Furuya Y, Oki R, Ogura H, Takagi Y, Ito K, Kurosawa I. [Current Status of Calculation of Continence Care Fee for Out-Patients at Kurosawa Hospital]. Hinyokika Kiyo. 2022 Mar;68(3):81-85. Japanese. doi: 10.14989/ActaUrolJap_68_3_81. PMID: 35468700.)).
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Hopson B; MSHA, Alford EN, Zimmerman K, Blount JP, Rocque BG. Development of an evidence-based individualized transition plan for spina bifida. Neurosurg Focus. 2019 Oct 1;47(4):E17. doi: 10.3171/2019.7.FOCUS19425. PMID: 31574471.