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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Related Experiment Video

Updated: Jun 28, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Mixed Methods EvAluation of the high-volume low-complexity Surgical hUb pRogrammE (MEASURE): a mixed methods study

Arabella Scantlebury1, Peter Sivey2, Zecharias Anteneh2

  • 1York Trials Unit, Department of Health Sciences, University of York, York, UK arabella.scantlebury@york.ac.uk.

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Summary

High-volume low-complexity surgical hubs aim to reduce England's 7.8 million surgery waiting list. This study evaluates their impact on patient care, productivity, and the healthcare workforce.

Keywords:
HEALTH ECONOMICSHealth policyORTHOPAEDIC & TRAUMA SURGERYProtocols & guidelinesQUALITATIVE RESEARCHSURGERY

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Area of Science:

  • Health Services Research
  • Surgical Operations
  • Healthcare Management

Background:

  • England faces a significant backlog of elective surgeries, with over 7.8 million patients waiting.
  • Waiting time targets for elective procedures have been consistently missed since 2010.
  • The High-Volume Low-Complexity (HVLC) surgical hubs program is a national initiative to address this surgical backlog.

Purpose of the Study:

  • To evaluate the impact of HVLC surgical hubs on patient care quality and outcomes.
  • To assess the effect of HVLC surgical hubs on healthcare productivity and efficiency.
  • To analyze the influence of HVLC surgical hubs on the healthcare workforce.

Main Methods:

  • A 4-year mixed-methods study employing the Consolidated Framework for Implementation Research.
  • Work packages include mapping provision, quasi-experimental analysis of patient volume, qualitative case studies, productivity assessments, workforce impact appraisal, and cost-consequence analysis.
  • Data sources include Hospital Episodes Statistics, NHS workforce data, and patient/public involvement.

Main Results:

  • This section is to be populated upon study completion.
  • Expected results will quantify changes in patient treatment volumes and waiting times.
  • Findings will detail impacts on patient experience, healthcare professional roles, and overall system productivity.

Conclusions:

  • This study will provide crucial evidence on the effectiveness and value for money of HVLC surgical hubs.
  • Results will inform policy development and guide the future implementation of surgical hubs in the NHS.
  • The findings aim to optimize elective surgical care delivery and reduce patient waiting lists.