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Long wait times for elective surgery in Canada are worsening. A network of publicly funded ambulatory surgery centres could improve efficiency and cost-effectiveness for surgical services.

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Area of Science:

  • Health Services Research
  • Surgical Outcomes
  • Public Health Policy

Background:

  • Persistent long wait times for elective surgery in Canada.
  • The COVID-19 pandemic has exacerbated surgical backlogs.
  • Ambulatory surgery centres show potential for improved efficiency.

Purpose of the Study:

  • To explore the advantages of establishing a network of publicly funded ambulatory surgery centres.
  • To assess the cost-effectiveness and efficiency of ambulatory surgery centres compared to larger hospitals.
  • To propose solutions for reducing elective surgery wait times in Canada.

Main Methods:

  • Literature review of current evidence on ambulatory surgery centres.
  • Comparative analysis of efficiency and cost-effectiveness between centre types.
  • Exploration of public funding models for surgical networks.

Main Results:

  • Ambulatory surgery centres are generally more cost-effective.
  • These centres demonstrate higher efficiency in delivering ambulatory surgical services.
  • Evidence supports their viability as a solution to surgical wait times.

Conclusions:

  • A network of publicly funded ambulatory surgery centres is a promising strategy.
  • Implementing such a network can address Canadian surgical wait time challenges.
  • This model offers a more efficient and cost-effective approach to surgical care delivery.