Exploring the Business Case for Improving Quality of Care for Patients With Chronic Rotator Cuff Tears
| Autor: | Breda H. Eubank, David M Sheps, Nicholas G. H. Mohtadi, J. C. Herbert Emery, Mark R. Lafave, J. Preston Wiley |
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| Rok vydání: | 2019 |
| Předmět: |
Complementary Therapies
medicine.medical_specialty Canada Health (social science) Leadership and Management Cost-Benefit Analysis Conservative Treatment Rotator Cuff Injuries 03 medical and health sciences 0302 clinical medicine Clinical Protocols Care pathway Medicine Humans Rotator cuff Orthopedic Procedures 030212 general & internal medicine Business case Quality of care Intensive care medicine Care Planning Patient Care Team Potential impact Primary Health Care business.industry 030503 health policy & services Health Policy Surgical procedures Health Services Quality Improvement Public health care medicine.anatomical_structure Chronic Disease Tears Health Resources 0305 other medical science business |
| Zdroj: | Quality management in health care. 28(4) |
| ISSN: | 1550-5154 |
| Popis: | BACKGROUND AND OBJECTIVES Currently, management of patients presenting with chronic rotator cuff tears in Alberta is in need of quality improvements. This article explores the potential impact of a proposed care pathway whereby all patients presenting with chronic rotator cuff tears in Alberta would adopt an early, conservative management plan as the first stage of care; ultrasound investigation would be the preferred tool for diagnosing a rotator cuff tear; and only patients are referred for surgery once conservative measures have been exhausted. METHODS We evaluate evidence in support of surgery and conservative management, compare care in the current state with the proposed care pathway, and identify potential solutions in moving toward optimal care. RESULTS A literature search resulted in an absence of indications for either surgical or conservative management. Conservative management has the potential to reduce utilization of public health care resources and may be preferable to surgery. The proposed care pathway has the potential to avoid nearly Can $87 000 in public health care costs in the current system for every 100 patients treated successfully with conservative management. CONCLUSION The proposed care pathway is a low-cost, first-stage treatment that is cost-effective and has the potential to reduce unnecessary, costly surgical procedures. |
| Databáze: | OpenAIRE |
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