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[Ambulatory surgery in Great Britain--an overview]
1St Mary's Hospital NHS Trust, Newport, Isle of Wight, Grossbritannien.
Summary
Day surgery, also known as ambulatory surgery, has significantly increased in Great Britain. This expansion is driven by technological advancements, cost efficiencies, and patient preference, making it the preferred option for over half of elective surgeries.
Area of Science:
- Healthcare Management
- Surgical Innovation
- Health Policy
Background:
- Day surgery has a long history in Great Britain but has seen a recent surge in interest and practice.
- Expansion faced obstacles including clinician preference for traditional methods and initial resource limitations.
Purpose of the Study:
- To analyze the recent expansion of day surgery in Great Britain.
- To identify key drivers and current status of day surgery adoption.
- To project future trends in day surgery utilization.
Main Methods:
- The study reviews trends in day surgery practice in Great Britain over recent years.
- It examines factors contributing to the growth of day surgery, including clinical practice changes, technology, cost-efficiency drives, policy initiatives, and patient attitudes.
- Data on the proportion of elective operations performed on a day care basis is presented.
Main Results:
- Day surgery volume has nearly doubled in Great Britain in the last five years.
- Currently, just under half of all elective operations are performed on a day care basis.
- Significant inter-hospital variation exists in day surgery rates for both overall patient numbers and specific procedures.
Conclusions:
- Day surgery is increasingly accepted as the optimal treatment for over 50% of elective surgical procedures.
- The trend indicates a continued rise, with expectations to exceed 60% by the end of the decade.
- Addressing variations in practice across hospitals is crucial for maximizing the benefits of day surgery.