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Related Experiment Videos

Day surgery--how much is possible? A Delphi consensus among surgeons

C Grainger1, R Griffiths

  • 1Institute of Public and Environmental Health, University of Birmingham, Edgbaston.

Public Health
|July 1, 1994
PubMed
Summary

Day surgery (DS) is increasingly used to improve resource efficiency. A consensus conference identified feasible targets and highlighted management/personnel issues as key obstacles to expanding DS services.

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Area of Science:

  • Healthcare Management
  • Surgical Services
  • Health Policy

Background:

  • Day surgery (DS) is a growing practice for common surgical conditions, driven by the need for resource optimization.
  • Significant regional variations exist in DS utilization across different districts and surgical consultants.
  • Increasing DS volume and uniformity are key goals for healthcare resource management.

Purpose of the Study:

  • To establish feasible procedural targets for day surgery (DS) volume.
  • To identify obstacles hindering the expansion and uniform implementation of DS services.
  • To gain clinical commitment for increasing day surgery utilization.

Main Methods:

  • A consensus conference was convened to address DS service development.
  • A modified Delphi technique was employed to set procedural targets for DS.

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  • Clinicians' perspectives on DS implementation barriers were actively sought.

    • Main Results:

    • Consensus was reached on targets for 43 surgical procedures at one and five-year intervals.
    • The modified Delphi technique successfully involved numerous clinicians in target setting.
    • Management and personnel issues, not capital investment, were identified as primary obstacles to DS expansion.

    Conclusions:

    • The modified Delphi technique is effective for engaging clinicians in setting targets for surgical services.
    • Addressing management and personnel challenges is crucial for successful day surgery program development.
    • Achieving established DS targets in clinical practice requires overcoming identified service delivery barriers.