| Autor: |
Hani J Marcus, William Muirhead, Parag Sayal, Danyal Zaman Khan, Chan Hee Koh, Hugo Layard Horsfall, George Prezerakos |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
BMJ Surgery, Interventions, & Health Technologies, Vol 6, Iss 1 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2631-4940 |
| DOI: |
10.1136/bmjsit-2023-000202 |
| Popis: |
Objectives To characterize the distribution of case volumes within a surgical field.Design An analysis of British Spine Registry.Setting 295 centers in England that conducted at least one spinal operation either within the NHS or private settings between 1 May 2016 and 27 February 2021.Participants 644 surgeons.Main outcome measures Mathematical descriptions of distributions of cases among surgeons and the extent of workforce-level case-volume concentration as a surrogate marker.Results There were wide variations in monthly caseloads between surgeons, ranging from 0 to average monthly high of 81.8 cases. The curves showed that 37.7% of surgeons were required to perform 80% of all spinal operations, which is substantially less than in fields outside of healthcare.With the COVID-19 pandemic, the case volumes of surgeons with the highest volumes dropped dramatically, whereas those with the lowest case numbers remained nearly unchanged. This, along with the relatively low level of case-volume concentration within spinal surgery, may indicate an inevitability of at least some level of surgical care being provided by the relatively lower volume surgeons.Conclusions While there is a reasonable degree of workforce-level case volume concentration within spinal surgery, with high volume spinal surgeons providing a large proportion of care, it is not clear whether a further concentration of case volumes into those few hands is possible or desirable. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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