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Surgical utilization in the U.S.A

E G McCarthy, M L Finkel

    Medical Care
    |September 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Surgical utilization increased 34% from 1971-1977, with higher rates in females and older age groups. Increased surgical manpower is a suggested cause, though optimal physician training remains debated.

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    Area of Science:

    • Health Services Research
    • Medical Economics
    • Public Health Policy

    Background:

    • National Center for Health Statistics data reveal a significant rise in surgical utilization between 1971 and 1977.
    • This increase was more pronounced in females, largely due to a rise in gynecologic procedures.
    • Surgical utilization did not increase in individuals aged 15 and younger, but rose with advancing age.

    Purpose of the Study:

    • To analyze trends in surgical utilization.
    • To identify potential contributing factors to the observed increase.
    • To discuss the implications of surgical manpower on healthcare delivery.

    Main Methods:

    • Analysis of data from The National Center for Health Statistics.
    • Examination of surgical utilization rates across different demographic groups (age, sex).

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  • Review of literature and expert opinion on factors influencing surgical rates.

    • Main Results:

    • Overall surgical utilization increased by 34% during the study period (1971-1977).
    • Gynecologic surgery significantly contributed to the higher utilization rates among females.
    • Surgical patient rates per 1,000 population increased with age, with no increase in the youngest cohort.

    Conclusions:

    • Surgical manpower, potentially exceeding population needs, is frequently cited as a driver of increased surgical utilization.
    • The optimal number of physicians in surgical training is a complex and contentious issue.
    • Estimating future healthcare workforce needs presents significant challenges, hindering the development of ideal distribution models.