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Evaluating a voluntary second surgical opinion program.

Evaluation & the Health Professions

|November 7, 1980

Summary

Evaluating a voluntary second surgical opinion program revealed challenges in data integration and cost analysis. Methodologies were developed to assess hospital bed reduction and separate surgical costs, improving program evaluation.

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Area of Science:

Healthcare Management
Health Services Research

Background:

Evaluating voluntary second surgical opinion programs presents multifaceted challenges.
Data collection and analysis require sophisticated methodologies for accurate assessment.

Purpose of the Study:

To address problem areas encountered in the evaluation of a voluntary second surgical opinion program.
To develop and refine methods for assessing program impact on cost savings and quality of care.

Main Methods:

Sensitivity testing of participant-provided medical data.
Analysis of program impact on hospital bed reduction within regional market and political contexts.
Development of a methodology to differentiate surgical from nonsurgical case costs.
Incorporation of a control group for quality of care evaluation.

Main Results:

Reliance on participant data had minimal impact.
Significant cost savings were identified through reduced patient days, accounting for fixed per diem costs.
A novel methodology successfully separated surgical and nonsurgical case costs.
Quality of care evaluation framework established using a control group and survey outcomes.

Conclusions:

The evaluation framework effectively addressed data integration and cost-allocation challenges.
The voluntary second surgical opinion program demonstrated potential for cost savings and improved care quality assessment.
Further refinement of data sets and methodologies can enhance future program evaluations.

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