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Related Experiment Videos

The current status of surgical second opinion programs.

M L Finkel, E G McCarthy, H S Ruchlin

    The Surgical Clinics of North America
    |August 1, 1982
    PubMed
    Summary

    Second opinion programs, often voluntary, help reduce unnecessary surgeries and control healthcare costs. Further evaluation is needed, but voluntary models are likely to persist.

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    Area of Science:

    • Healthcare Management
    • Medical Economics
    • Public Health Policy

    Background:

    • Second opinion programs emerged significantly in the 1970s.
    • The majority of these programs were established on a voluntary participation basis.
    • Existing programs aim to identify and mitigate potential instances of surplus surgery.

    Purpose of the Study:

    • To analyze the historical prevalence and operational basis of second opinion programs.
    • To discuss the cost-containment potential and effectiveness of these programs in healthcare.
    • To project the likely future trajectory of second opinion program structures.

    Main Methods:

    • Review of historical data on second opinion program establishment.
    • Analysis of program design focusing on voluntary versus mandatory participation.
    • Examination of cost-containment mechanisms and identification of surplus surgery.

    Main Results:

    • Second opinion programs have historically been predominantly voluntary.
    • Evidence suggests these programs are effective in identifying potential surplus surgeries.
    • The cost-containment function of second opinion programs is a key design feature.

    Conclusions:

    • Voluntary second opinion programs are likely to remain the prevalent model.
    • Further comprehensive evaluations of both voluntary and mandatory programs are warranted.
    • The role of second opinion programs in managing healthcare expenditure and surgical appropriateness is significant.

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