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Value in acute care surgery, part 3: Defining value in acute surgical care-It depends on the perspective
Patricia R Ayoung-Chee1, Amy V Gore, Brandon Bruns
1From the Department of Surgery (P.R.A.-C.), Morehouse School of Medicine, Atlanta, Georgia; Department of Surgery (A.V.G.), Rutgers New Jersey Medical School, Newark, New Jersey; Department of Surgery (B.B.), University of Texas, Southwestern Medical Center, Dallas, Texas; Department of Surgery (L.M.K., K.L.S.), Stanford University School of Medicine, Palo Alto; Department of Surgery (J.N.), University of California, Irvine, California; Department of Surgery (K.A.D.), Yale School of Medicine, New Haven, Connecticut; Department of Surgery (S.L.), Inova Fairfax Medical Campus, Falls Church, Virginia; Department of Surgery (S.W.R., R.S.M.), Wake Forest School of Medicine, Winston-Salem, North Carolina; Department of Surgery (L.R.S.), Idaho College of Osteopathic Medicine, Meridian, Idaho; and Department of Surgery (C.V.), University of Colorado Denver, Anschutz Medical Campus, Aurora, Colorado.
Abstract:
The prior articles in this series have focused on measuring cost and quality in acute care surgery. This third article in the series explains the current ways of defining value in acute care surgery, based on different stakeholders in the health care system-the patient, the health care organization, the payer and society. The heterogenous valuations of the different stakeholders require that the framework for determining high-value care in acute care surgery incorporates all viewpoints.
Level Of Evidence:
Expert Opinion; Level V.
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