THE TIME HAS COME FOR A COMMUNITY AND HOME-BASED PREHABILITATION: NARRATIVE OF AN IMPLEMENTATION PROCESS
Optimizing patients’ condition before surgery, bringing patients to their best fitness status, has always been tried by surgeons, even if it was in stochastic models. Setting up a prehabilitation program should take into account patients and their circumstances. To ensure success, programs should be personalized (patient balanced) and aim to ensure patients’ regular support as well as easy and effective contact with the healthcare team. A two-platform clinic was planned based on hospital and community facilities and health care specialists. A wide range of languages and communications systems needed to be merged and operationalized. The governance of this project is a demanding and forever ongoing process. The aim of this paper is to provide a narrative of the why and the how we are setting a community and home-based personalized prehabilitation clinic, and to give a reflective analysis of the process of gathering the right associates to implement this innovation of changing the ways and the places for prehabilitation to happen.
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