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How much day surgery? Delphic predictions.

J Gabbay¹, L Francis

¹Oxford Regional Health, Authority.

BMJ (Clinical Research Ed.)

|November 12, 1988

Summary

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This study identified common surgeries suitable for day surgery, not inpatient care. National Delphi study results can guide health districts in increasing day surgery rates by comparing potential with current practices.

Area of Science:

Health Services Research
Surgical Outcomes

Background:

Many common surgical procedures are performed on inpatients, despite evidence suggesting they could be day cases.
Optimizing surgical pathways is crucial for healthcare efficiency and patient flow.

Purpose of the Study:

To estimate the potential rates of day surgery for common procedures under ideal conditions.
To provide data for health districts to increase day surgery utilization.

Main Methods:

A national Delphi study involving anaesthetists and general surgeons was conducted.
Identified 83 common operations potentially suitable for day surgery.
Compared national estimates with local district data and waiting list figures.

Main Results:

Related Experiment Videos

National Delphi study provided probable day surgery rates for common operations.
Comparison facilitated targeted efforts in two health districts to boost day surgery.
Data suggests potential for broader application across districts.

Conclusions:

National Delphi study findings are applicable to other districts with data validation.
Variations in clinical opinion exist despite expert consensus.
Increased day surgery may lead to growing caseloads as waiting lists shorten.