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Related Experiment Videos

Shared decision-making and the orthopaedic workforce.

J D Lurie1, J N Weinstein

  • 1Center for the Evaluative Clinical Sciences, Department of Medicine, Dartmouth Medical School, Hanover, NH, USA.

Clinical Orthopaedics and Related Research
|April 17, 2001
PubMed
Summary
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Regional benchmarks offer a practical method for estimating physician workforce needs, addressing variations in healthcare utilization and improving future planning. This approach contrasts with traditional needs-based methods.

Area of Science:

  • Health Services Research
  • Medical Economics
  • Orthopaedic Surgery

Background:

  • Physician workforce planning traditionally relies on average healthcare use rates, which can be problematic.
  • Geographic variations in procedure rates suggest factors beyond population demographics influence healthcare delivery.

Purpose of the Study:

  • To explore geographic variations in orthopaedic procedure rates.
  • To assess the implications of these variations for physician workforce planning.
  • To propose regional benchmarks as an alternative to needs-based planning.

Main Methods:

  • Analysis of geographic variations in orthopaedic procedure rates.
  • Comparison of procedure rates across different regions.
  • Evaluation of factors influencing procedure rate variations, such as practice style and supply-induced demand.

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Main Results:

  • Hip fracture rates show minimal geographic variation.
  • Spine surgery rates vary sixfold across regions.
  • Spinal fusion rates exhibit a tenfold variation geographically.

Conclusions:

  • Regional benchmarks provide a pragmatic standard for physician workforce size estimation.
  • Shared decision-making and effectiveness studies can help align healthcare rates with patient preferences.
  • Optimizing healthcare utilization rates through evidence-based practices can inform future workforce projections.