Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Direct access surgery

F C Smith1, B R Gwynn

  • 1Stafford District General Hospital.

Annals of the Royal College of Surgeons of England
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

Direct Access Surgery (DAS) programs streamline care for patients with straightforward surgical needs, reducing outpatient clinic burdens. This evaluation found DAS effective, with high patient and GP satisfaction and minimal diagnostic errors.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Eradication of Tuberculosis and the Means by Which It May Be Accomplished.

Texas medical journal (Austin, Tex.)·2023
Same author

Clinical Report of Cases Treated with Phylacogen.

Buffalo medical journal·2023
Same author

Sources of Variation at the Retail Level in Bacteriological Condition of Ground Beef <sup>1</sup>.

Journal of food protection·2019
Same author

Functions of the Civilian Medical Division of the War Department; condensed report, 1942-1946.

Occupational medicine·2010
Same author

Pathology and physiology of struma ovarii.

Archives of surgery (Chicago, Ill. : 1920)·2010
Same author

The Biethium Bridge-an advance in stoma care.

Annals of the Royal College of Surgeons of England·2009
Same journal

This story shall the good [surgeon] teach.

Annals of the Royal College of Surgeons of England·2026
Same journal

Frailty: new horizons in older patients needing surgery.

Annals of the Royal College of Surgeons of England·2026
Same journal

Frailty in emergency surgery: expanding the role of biomarkers.

Annals of the Royal College of Surgeons of England·2026
Same journal

Health tourism in limb reconstruction - a recognised burden on the NHS.

Annals of the Royal College of Surgeons of England·2026
Same journal

A multicentre audit of costs, plastic waste and CO<sub>2</sub>-equivalent emissions of single-use items in flexible nasal endoscopy in UK ENT practice.

Annals of the Royal College of Surgeons of England·2026
Same journal

Response to recent technical tip describing screw length measurement technique.

Annals of the Royal College of Surgeons of England·2026
See all related articles

Area of Science:

  • Surgical Practice
  • Healthcare Management
  • Patient Pathways

Background:

  • UK surgical outpatient clinics face increasing pressure due to evolving practices.
  • Traditional referral pathways can be time-consuming and resource-intensive.

Purpose of the Study:

  • To evaluate the effectiveness and feasibility of a Direct Access Surgery (DAS) program.
  • To assess patient and General Practitioner (GP) satisfaction with the DAS model.

Main Methods:

  • A DAS program was implemented with specific referral criteria for simple surgical conditions.
  • Patients were referred directly for surgery, bypassing outpatient appointments.
  • Data on referrals, operations, diagnostic accuracy, and satisfaction were collected over 12 months.

Related Experiment Videos

Main Results:

  • 105 patients were referred for DAS, with 102 undergoing surgery.
  • Low incidence of inaccurate diagnosis (<2%) and inappropriate referrals (<1%).
  • Both GPs and patients reported positive reception to the DAS program.

Conclusions:

  • Direct Access Surgery programs can efficiently manage patients with simple surgical conditions.
  • DAS can potentially lead to significant savings in outpatient time and resources.
  • The program demonstrates a viable alternative to traditional surgical referral pathways.