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Plastic surgery procedure unit: A streamlined care model for minor and intermediate procedures: A cost-benefit
Shane Cullen1, Paula F Wrafter1, Deirdre Jones1
1Department of Plastic and Reconstructive Surgery, Galway University Hospital, Newcastle Road, Co. Galway, H91 YR71, Republic of Ireland.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 1, 2020
Summary
A dedicated plastic surgery procedural unit significantly reduces costs by performing elective and trauma surgeries. This approach improves efficiency, cuts waiting times, and lowers hospital stay durations, resulting in substantial institutional savings.
Area of Science:
- Plastic Surgery
- Health Economics
- Healthcare Management
Background:
- Wide-awake local anesthesia reduces the need for main operating theaters for plastic surgery.
- Dedicated procedural units can offer significant cost benefits to healthcare institutions.
Purpose of the Study:
- To evaluate the cost-benefits of a dedicated 7-day/week plastic surgery procedural (PSP) unit.
- To assess the impact of the PSP unit on elective and trauma surgeries.
Main Methods:
- Retrospective review of 3058 operations performed in the PSP unit (September 2018 - August 2019).
- Calculation of hospital days saved using admissions data and operating theatre systems.
- Cost analysis using institutional financial data.
Main Results:
- The PSP unit performed 2388 elective and 670 trauma cases.
- Reduced average waiting time for trauma cases by 1.4 days, saving 487 hospital days (€347,861).
- Total calculated cost-benefit was €685,087, including hospital days and resource savings (€337,226).
Conclusions:
- Performing elective and trauma surgeries in dedicated minor procedure units like the PSP is beneficial.
- The PSP unit enhances service efficiency, reduces surgical waiting times, shortens hospital stays, and lowers operating costs.
- Significant overall cost savings are achievable through dedicated procedural units.

