{"id":1,"date":"2019-02-05T01:38:14","date_gmt":"2019-02-05T01:38:14","guid":{"rendered":"https:\/\/www.precisionostech.com\/?p=1"},"modified":"2019-11-06T15:06:31","modified_gmt":"2019-11-06T15:06:31","slug":"the-virtuous-circle-of-value-for-surgeons","status":"publish","type":"post","link":"https:\/\/www.precisionostech.com\/fr\/the-virtuous-circle-of-value-for-surgeons\/","title":{"rendered":"Le cercle vertueux de la valeur pour les chirurgiens"},"content":{"rendered":"<p>Michael Porter pense que le syst\u00e8me de sant\u00e9 se transforme en un syst\u00e8me bas\u00e9 sur la valeur plut\u00f4t que sur les services.<br><\/p>\n\n\n\n<p>Au Congr\u00e8s Clinique 2018, il&nbsp;<a href=\"https:\/\/www.facs.org\/clincon2018\/resources\/highlights\/wed\/nl10\">a exhort\u00e9 les participants<\/a>&nbsp;to \u201cbe leaders in this transformation, rather than be dragged along.\u201d He believes such a transformation is necessary because healthcare costs are unsustainable: they\u2019re rising faster than GDP and income in most developed countries.<br><\/p>\n\n\n\n<p>Alors comment r\u00e9duire les d\u00e9penses de sant\u00e9 ? Porter note que les am\u00e9liorations progressives pour r\u00e9duire les co\u00fbts n&#039;ont pas r\u00e9ussi. Il plaide plut\u00f4t pour une restructuration des soins de sant\u00e9 vers un objectif unique\u00a0:&nbsp;<strong>am\u00e9lioration de la valeur pour les patients<\/strong>.<br><\/p>\n\n\n\n<p><a href=\"https:\/\/www.precisionostech.com\/fr\/\">Syst\u00e8me d&#039;exploitation de pr\u00e9cision<\/a>&nbsp;partner, Jon \u201cJ.P.\u201d Warner M.D., believes healthcare providers should learn from Porter\u2019s&nbsp;<strong>Cercle vertueux de la valeur<\/strong>, qui met l&#039;accent sur l&#039;importance du volume : un nombre plus \u00e9lev\u00e9 de patients atteints de la m\u00eame maladie permet une valeur plus \u00e9lev\u00e9e pour les patients.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Volume, r\u00e9sultats et valeur<\/h2>\n\n\n\n<p>Le Dr Warner est chirurgien orthop\u00e9diste au&nbsp;<a href=\"http:\/\/bostonshoulderinstitute.com\/\">Institut de l&#039;\u00e9paule de Boston<\/a>&nbsp;et co-auteur d&#039;un article publi\u00e9 dans Arthroscopy Journal examinant la&nbsp;<a href=\"https:\/\/www.arthroscopyjournal.org\/article\/S0749-8063(17)30286-4\/pdf\">relation entre le volume et les r\u00e9sultats<\/a>&nbsp;en chirurgie.<br><\/p>\n\n\n\n<p>Il souligne que la recherche montre que les prestataires \u00e0 faible volume sont associ\u00e9s \u00e0 des s\u00e9jours \u00e0 l&#039;h\u00f4pital plus longs, \u00e0 des temps d&#039;op\u00e9ration plus longs, \u00e0 des complications hospitali\u00e8res accrues et \u00e0 des co\u00fbts plus \u00e9lev\u00e9s. Cependant, il note \u00e9galement que l&#039;effet du volume sur les r\u00e9sultats est plus faible dans les cas o\u00f9 la formation en r\u00e9sidence en orthop\u00e9die offre une plus grande exposition (comme dans les arthroplasties totales de la hanche et du genou, par exemple).<br><\/p>\n\n\n\n<p>Ces r\u00e9sultats sugg\u00e8rent que l&#039;\u00e9tablissement d&#039;un seuil de volume est un moyen d&#039;offrir une meilleure valeur aux patients. Porter a \u00e9t\u00e9 le premier \u00e0 proposer le&nbsp;<strong>\u00e9quation de valeur pour des soins efficaces<\/strong>:<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><em>Valeur = r\u00e9sultat\/co\u00fbt<\/em><br><\/h2>\n\n\n\n<p>Pour offrir plus de valeur aux patients, les prestataires de soins de sant\u00e9 doivent soit am\u00e9liorer les r\u00e9sultats chirurgicaux, soit r\u00e9duire les co\u00fbts. Porter a \u00e9tudi\u00e9 la&nbsp;<a href=\"http:\/\/refhub.elsevier.com\/S0749-8063(17)30286-4\/sref8\">effet du volume chirurgical<\/a>&nbsp;on outcomes and value in healthcare and proposed a \u201cVirtuous Circle of Value\u201d based on the volume of care (see figure below).<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"499\" height=\"499\" data-src=\"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/Virtuous-Circle-of-Value.png\" alt=\"\" class=\"wp-image-203 lazyload\" data-srcset=\"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/Virtuous-Circle-of-Value.png 499w, https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/Virtuous-Circle-of-Value-300x300.png 300w, https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/Virtuous-Circle-of-Value-150x150.png 150w, https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/Virtuous-Circle-of-Value-12x12.png 12w\" data-sizes=\"(max-width: 499px) 100vw, 499px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 499px; --smush-placeholder-aspect-ratio: 499\/499;\" \/><\/figure>\n\n\n\n<p><strong><em>La source<\/em><\/strong><em>:&nbsp;<\/em><a href=\"https:\/\/www.arthroscopyjournal.org\/article\/S0749-8063(17)30286-4\/pdf\"><em>Volume et r\u00e9sultat\u00a0: 100\u00a0ans de perspective sur la valeur, d&#039;EA Codman \u00e0 ME Porter<\/em><\/a><em>, reprinted from Porter and Kaplan\u2019s \u201cHow to pay for healthcare\u201d.<\/em><br><\/p>\n\n\n\n<p>Un plus grand volume de patients entra\u00eene une boucle de r\u00e9troaction positive d&#039;am\u00e9liorations, \u00e0 commencer par plus d&#039;exp\u00e9rience, de meilleures donn\u00e9es, une efficacit\u00e9 croissante, etc.<br><\/p>\n\n\n\n<p>It\u2019s important to note, however, that providers can begin at multiple points in the cycle: increasing volume is not the only way to increase value. Dr. Warner shows that&nbsp;<strong>efforts syst\u00e9matiques pour mesurer les r\u00e9sultats et am\u00e9liorer<\/strong>&nbsp;peut \u00e9galement conduire \u00e0 de meilleurs r\u00e9sultats.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">L&#039;importance de mesurer les r\u00e9sultats<\/h2>\n\n\n\n<p>Porter propose le&nbsp;<a href=\"https:\/\/www.martini-klinik.de\/en\/for-patients\/\">Martini Klinik<\/a>&nbsp;en Allemagne comme exemple d&#039;un prestataire de soins de sant\u00e9 qui a int\u00e9rioris\u00e9 le cercle vertueux de la valeur.<br><\/p>\n\n\n\n<p>They created \u201ca hospital within a hospital\u201d that integrates all the elements of care and, most crucially, supports the systematic measurement of outcomes to determine which surgeons are underperforming. When an underperformer at the Martini Klinik is identified, they receive mentorship from better-performing surgeons. As a result, outcomes quickly improve up to the required benchmark.<br><\/p>\n\n\n\n<p>Dans l&#039;ensemble, la Martini Klinik a des taux de complications bien inf\u00e9rieurs \u00e0 ceux des fournisseurs comparables. Par cons\u00e9quent, le volume peut \u00eatre important, mais il en va de m\u00eame pour la mesure syst\u00e9matique des r\u00e9sultats.&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0003497516307469\">Recherche effectu\u00e9e par le Dr Shahian<\/a>&nbsp;confirme que la mesure de l&#039;ensemble du processus de soins, de la prise de d\u00e9cision pr\u00e9op\u00e9ratoire \u00e0 la chirurgie et aux soins postop\u00e9ratoires, peut consid\u00e9rablement am\u00e9liorer les r\u00e9sultats. EA Codman serait d&#039;accord.<br><\/p>\n\n\n\n<p>Dans&nbsp;<a href=\"https:\/\/books.google.ca\/books?id=5d8MtAEACAAJ&amp;dq=hospital+efficiency+codman&amp;hl=en&amp;sa=X&amp;redir_esc=y\"><em>Efficacit\u00e9 hospitali\u00e8re<\/em><\/a>, Codman a \u00e9crit :<br><\/p>\n\n\n\n<p>\u201cTo effect improvement, the first step is to admit and record the lack of perfection. The next step is to analyze the causes of failure and to determine whether these causes are controllable.\u201d<br><\/p>\n\n\n\n<p>Le Dr Warner conclut que, bien que le volume joue un r\u00f4le dans la d\u00e9termination de la valeur, la mesure des r\u00e9sultats et des am\u00e9liorations sur la base de ces mesures est encore plus importante.<br><\/p>\n\n\n\n<p>Dr. Warner believes measuring outcomes will become even more important as hospitals move to alternative payment models \u2013 and there have already been proposals for the creation of insurance bundles in shoulder arthroplasty and rotator cuff repair. For example, in 1994, Johnson and Becker proposed and delivered a warranty on outcomes for a&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0749806305802002\">\u00e9tude pilote d&#039;arthroscopie de deux ans<\/a>&nbsp;et r\u00e9ussi \u00e0 augmenter les marges b\u00e9n\u00e9ficiaires de l&#039;h\u00f4pital et du chirurgien concern\u00e9.<br><\/p>\n\n\n\n<p>Mettre l&#039;accent sur l&#039;am\u00e9lioration des r\u00e9sultats plut\u00f4t que sur la prestation de services s&#039;est av\u00e9r\u00e9 \u00eatre un bon moyen de r\u00e9duire les co\u00fbts et d&#039;augmenter la valeur pour les patients.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Valeur et r\u00e9sultats<\/h2>\n\n\n\n<p>Il existe une association claire entre le volume et les r\u00e9sultats (comme le d\u00e9montre le cercle vertueux de la valeur). Cependant, les prestataires de soins de sant\u00e9 peuvent \u00e9galement augmenter la valeur pour le patient gr\u00e2ce \u00e0 une approche d\u00e9di\u00e9e \u00e0 la mesure, \u00e0 la surveillance et aux programmes d&#039;apprentissage et de mentorat pratiques.<br><\/p>\n\n\n\n<p>Pour en revenir une fois de plus au cercle vertueux de la valeur, le processus de mesure et d&#039;am\u00e9lioration des r\u00e9sultats augmente naturellement l&#039;efficacit\u00e9, am\u00e9liore les r\u00e9sultats chirurgicaux et augmente la valeur pour les patients. En cons\u00e9quence, les volumes de patients augmentent et les chirurgiens et les h\u00f4pitaux voient plus de b\u00e9n\u00e9fices.<br><\/p>\n\n\n\n<p>Les prestataires de soins de sant\u00e9 peuvent donc accro\u00eetre la valeur pour tous en instituant un processus d&#039;apprentissage et d&#039;am\u00e9lioration continus.<\/p>","protected":false},"excerpt":{"rendered":"<p>Michael Porter thinks the healthcare system is transforming into a system based on value rather than services. At Clinical Congress 2018, he&nbsp;urged attendees&nbsp;to \u201cbe leaders in this transformation, rather than be dragged along.\u201d He believes such a transformation is necessary because healthcare costs are unsustainable: they\u2019re rising faster than GDP and income in most developed&#8230;<\/p>","protected":false},"author":3,"featured_media":202,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[19],"tags":[],"class_list":["post-1","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-surgery"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Virtuous Circle of Value for Surgeons | PrecisionOS<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.precisionostech.com\/fr\/the-virtuous-circle-of-value-for-surgeons\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Virtuous Circle of Value for Surgeons | PrecisionOS\" \/>\n<meta property=\"og:description\" content=\"Michael Porter thinks the healthcare system is transforming into a system based on value rather than services. At Clinical Congress 2018, he&nbsp;urged attendees&nbsp;to \u201cbe leaders in this transformation, rather than be dragged along.\u201d He believes such a transformation is necessary because healthcare costs are unsustainable: they\u2019re rising faster than GDP and income in most developed...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.precisionostech.com\/fr\/the-virtuous-circle-of-value-for-surgeons\/\" \/>\n<meta property=\"og:site_name\" content=\"PrecisionOS\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-05T01:38:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-11-06T15:06:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/doctor-holding-xray.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1006\" \/>\n\t<meta property=\"og:image:height\" content=\"671\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Brian Bubser\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Brian Bubser\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/\"},\"author\":{\"name\":\"Brian Bubser\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#\\\/schema\\\/person\\\/f02751bf7e621fb4ae1869cf9a799450\"},\"headline\":\"The Virtuous Circle of Value for Surgeons\",\"datePublished\":\"2019-02-05T01:38:14+00:00\",\"dateModified\":\"2019-11-06T15:06:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/\"},\"wordCount\":818,\"publisher\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.precisionostech.com\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/doctor-holding-xray.jpg\",\"articleSection\":[\"Surgery\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/\",\"url\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/\",\"name\":\"The Virtuous Circle of Value for Surgeons | PrecisionOS\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.precisionostech.com\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/doctor-holding-xray.jpg\",\"datePublished\":\"2019-02-05T01:38:14+00:00\",\"dateModified\":\"2019-11-06T15:06:31+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.precisionostech.com\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/doctor-holding-xray.jpg\",\"contentUrl\":\"https:\\\/\\\/www.precisionostech.com\\\/wp-content\\\/uploads\\\/2019\\\/02\\\/doctor-holding-xray.jpg\",\"width\":1006,\"height\":671,\"caption\":\"Doctor Holding Xray\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/de\\\/the-virtuous-circle-of-value-for-surgeons\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.precisionostech.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"The Virtuous Circle of Value for Surgeons\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#website\",\"url\":\"https:\\\/\\\/www.precisionostech.com\\\/\",\"name\":\"PrecisionOS\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.precisionostech.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#organization\",\"name\":\"Precision OS\",\"url\":\"https:\\\/\\\/www.precisionostech.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.precisionostech.com\\\/wp-content\\\/uploads\\\/2019\\\/10\\\/precision-os-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.precisionostech.com\\\/wp-content\\\/uploads\\\/2019\\\/10\\\/precision-os-logo.png\",\"width\":636,\"height\":100,\"caption\":\"Precision OS\"},\"image\":{\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.precisionostech.com\\\/#\\\/schema\\\/person\\\/f02751bf7e621fb4ae1869cf9a799450\",\"name\":\"Brian Bubser\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/8de2da787a3505c49e734dc1dd94e50ea0bedfcbc43f02659937478d35279646?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/8de2da787a3505c49e734dc1dd94e50ea0bedfcbc43f02659937478d35279646?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/8de2da787a3505c49e734dc1dd94e50ea0bedfcbc43f02659937478d35279646?s=96&d=mm&r=g\",\"caption\":\"Brian Bubser\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"The Virtuous Circle of Value for Surgeons | PrecisionOS","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.precisionostech.com\/fr\/the-virtuous-circle-of-value-for-surgeons\/","og_locale":"fr_FR","og_type":"article","og_title":"The Virtuous Circle of Value for Surgeons | PrecisionOS","og_description":"Michael Porter thinks the healthcare system is transforming into a system based on value rather than services. At Clinical Congress 2018, he&nbsp;urged attendees&nbsp;to \u201cbe leaders in this transformation, rather than be dragged along.\u201d He believes such a transformation is necessary because healthcare costs are unsustainable: they\u2019re rising faster than GDP and income in most developed...","og_url":"https:\/\/www.precisionostech.com\/fr\/the-virtuous-circle-of-value-for-surgeons\/","og_site_name":"PrecisionOS","article_published_time":"2019-02-05T01:38:14+00:00","article_modified_time":"2019-11-06T15:06:31+00:00","og_image":[{"width":1006,"height":671,"url":"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/doctor-holding-xray.jpg","type":"image\/jpeg"}],"author":"Brian Bubser","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"Brian Bubser","Dur\u00e9e de lecture estim\u00e9e":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/#article","isPartOf":{"@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/"},"author":{"name":"Brian Bubser","@id":"https:\/\/www.precisionostech.com\/#\/schema\/person\/f02751bf7e621fb4ae1869cf9a799450"},"headline":"The Virtuous Circle of Value for Surgeons","datePublished":"2019-02-05T01:38:14+00:00","dateModified":"2019-11-06T15:06:31+00:00","mainEntityOfPage":{"@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/"},"wordCount":818,"publisher":{"@id":"https:\/\/www.precisionostech.com\/#organization"},"image":{"@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/#primaryimage"},"thumbnailUrl":"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/doctor-holding-xray.jpg","articleSection":["Surgery"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/","url":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/","name":"The Virtuous Circle of Value for Surgeons | PrecisionOS","isPartOf":{"@id":"https:\/\/www.precisionostech.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/#primaryimage"},"image":{"@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/#primaryimage"},"thumbnailUrl":"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/doctor-holding-xray.jpg","datePublished":"2019-02-05T01:38:14+00:00","dateModified":"2019-11-06T15:06:31+00:00","breadcrumb":{"@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/#primaryimage","url":"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/doctor-holding-xray.jpg","contentUrl":"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/02\/doctor-holding-xray.jpg","width":1006,"height":671,"caption":"Doctor Holding Xray"},{"@type":"BreadcrumbList","@id":"https:\/\/www.precisionostech.com\/de\/the-virtuous-circle-of-value-for-surgeons\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.precisionostech.com\/"},{"@type":"ListItem","position":2,"name":"The Virtuous Circle of Value for Surgeons"}]},{"@type":"WebSite","@id":"https:\/\/www.precisionostech.com\/#website","url":"https:\/\/www.precisionostech.com\/","name":"PrecisionOS","description":"","publisher":{"@id":"https:\/\/www.precisionostech.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.precisionostech.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.precisionostech.com\/#organization","name":"Syst\u00e8me d&#039;exploitation de pr\u00e9cision","url":"https:\/\/www.precisionostech.com\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.precisionostech.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/10\/precision-os-logo.png","contentUrl":"https:\/\/www.precisionostech.com\/wp-content\/uploads\/2019\/10\/precision-os-logo.png","width":636,"height":100,"caption":"Precision OS"},"image":{"@id":"https:\/\/www.precisionostech.com\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/www.precisionostech.com\/#\/schema\/person\/f02751bf7e621fb4ae1869cf9a799450","name":"Brian Bubser","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/secure.gravatar.com\/avatar\/8de2da787a3505c49e734dc1dd94e50ea0bedfcbc43f02659937478d35279646?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/8de2da787a3505c49e734dc1dd94e50ea0bedfcbc43f02659937478d35279646?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/8de2da787a3505c49e734dc1dd94e50ea0bedfcbc43f02659937478d35279646?s=96&d=mm&r=g","caption":"Brian Bubser"}}]}},"_links":{"self":[{"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/posts\/1","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/comments?post=1"}],"version-history":[{"count":0,"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/posts\/1\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/media\/202"}],"wp:attachment":[{"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/media?parent=1"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/categories?post=1"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.precisionostech.com\/fr\/wp-json\/wp\/v2\/tags?post=1"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}