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Should I Buy This? A Decision-Making Tool for Surgical Value-Based Purchasing.

Ashley M Nassiri1, C Gaelyn Garrett1, Teresa L Dail1

  • 1Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 15, 2020
PubMed
Summary

When purchasing new surgical instruments, surgeons should consider patient care, team factors, and hospital economics. Involving surgeons in value-based decisions maximizes patient and practice value.

Keywords:
decision makingdevicesinstrumentspurchasingtechnologyvalue

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Area of Science:

  • Surgical Innovation
  • Health Economics
  • Medical Device Evaluation

Background:

  • New surgical instruments and products significantly impact practice value.
  • Surgeons often advocate for hospital acquisition of novel technologies.
  • Evaluating these acquisitions requires a multi-faceted approach.

Purpose of the Study:

  • To provide a guide for surgeons on evaluating new instrument and product acquisitions.
  • To summarize data from academic and industry settings regarding surgical device value.
  • To highlight key factors influencing value-based decision-making for surgical technologies.

Main Methods:

  • Review of data from academic and industry practices.
  • Inclusion of pertinent examples using surgical devices like disposable devices, laparoscopic trocars, and otologic endoscopes.
  • Analysis of factors influencing the value of new surgical instruments.

Main Results:

  • Key decision-making factors include patient and clinical care, surgeon and care team considerations, and hospital economics (cost, revenue, sourcing).
  • Involvement of surgeons in the purchasing process is crucial for value-based decisions.
  • Strategic acquisition of new technology can enhance both practice and patient value.

Conclusions:

  • Surgeons must comprehensively weigh multiple factors before adopting new surgical instruments.
  • Value-based decision-making is optimized when surgeons are informed and involved in the procurement process.
  • Informed purchasing decisions ultimately benefit patient care and surgical practice efficiency.