Public private partnership in vascular surgery

Area of Science:

• Vascular Surgery
• Health Services Research
• Medical Technology Assessment

Background:

• Public-private partnerships (PPPs) are increasingly explored to enhance healthcare delivery.
• Endovascular surgery offers minimally invasive treatment options for vascular diseases.
• Optimizing patient pathways and evaluating new technologies are crucial in surgical care.

Purpose of the Study:

• To analyze the outcomes of a PPP between the Ministry of Health and a private hospital for endovascular surgery.
• To evaluate clinical results, patient flow, and costs associated with the PPP.
• To compare the efficacy and cost-effectiveness of iodinated contrast and carbon dioxide in endovascular procedures.

Main Methods:

• Analysis of patient data (n=57) undergoing 62 endovascular procedures between April 2012 and July 2013.
• Comparison of hospital and surgical supply costs against public healthcare system reimbursement rates.
• Evaluation of patient wait times from appointment to surgery for outpatient and inpatient cases.
• Assessment of clinical outcomes, including procedure success rates and conversion to open surgery.
• Research protocol comparing iodinated contrast media with carbon dioxide for endovascular surgery.

Main Results:

• All 62 endovascular procedures were successful with no conversions to open surgery.
• Significant cost increases were observed in two of three disease groups compared to public system payments.
• Average wait times were reduced to 15 days for outpatients and 7 days for inpatients.
• Carbon dioxide was found to be an effective and cheaper alternative contrast medium.

Conclusions:

• The PPP significantly decreased patient waiting times for endovascular surgery.
• PPPs can expedite care for patients within public health services.
• This collaboration fostered scientific knowledge generation and improvement in endovascular surgery.