Dollars and Sense: The Business of Pediatric Surgery.

Autor: Skarda DE; Division of Pediatric Surgery, Department of Surgery, University of Utah, Salt Lake City, Utah; Supply Chain Organization, Intermountain Healthcare, Salt Lake City, Utah. Electronic address: david.skarda@hsc.utah.edu., Danko ME; Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, Tennessee., Glick RD; Division of Pediatric Surgery, Department of Surgery, Zucker School of Medicine at Hofstra/Northwell, Cohen Children's Medical Center, Queens, New York., Guner YS; Division of Pediatric Surgery, Children's Hospital of Orange County and Department of Surgery, University of California Irvine Medical Center, Orange, California., Le HD; Department of Surgery, American Family Children's Hospital, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin., Rich BS; Division of Pediatric Surgery, Department of Surgery, Zucker School of Medicine at Hofstra/Northwell, Cohen Children's Medical Center, Queens, New York., Robertson DJ; University of Illinois Chicago College of Medicine, Peoria, OSF Healthcare, Peoria, Illinois., Short SS; Division of Pediatric Surgery, Department of Surgery, University of Utah, Salt Lake City, Utah., Weiss RG; Connecticut Children's Medical Center, Hartford, Connecticut., Van Arendonk KJ; Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin., Raval MV; Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2023 May; Vol. 285, pp. 220-228. Date of Electronic Publication: 2023 Jan 25.
DOI: 10.1016/j.jss.2022.12.038
Abstrakt: Introduction: This study evaluated North American pediatric surgeons' opinions and knowledge of business and economics in medicine and their perceptions of trends in their healthcare delivery environment.
Methods: We conducted an elective online survey of 1119 American Pediatric Surgical Association members. Over 8 mo, we iteratively developed the survey focused on four areas: opinion, knowledge, current practice environment, and trends in practice environment over the past 5 y.
Results: We received 227 (20.3%) complete surveys from pediatric surgeons. One hundred ninety four (85.5%) perceive healthcare as a business and most (85.9%) believe healthcare decisions may affect patients' out-of-pocket expenses. More than half (51.1%) of surgeons believe it has become more challenging to perform emergent cases and most believe staff quality has decreased for elective (56.4%) and emergent (63.0%) cases over the past 5 y.
Conclusions: Pediatric surgeons recognize that medicine is a business and have concerns regarding the decreasing quality of operating room staff and the increasing difficulty providing surgical care over the last 5 y.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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