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Related Experiment Videos

Surgeon volume and hospital resource utilization

M Arndt1, R C Bradbury, J H Golec

  • 1Master of Health Administration Program, Graduate School of Management, Clark University, Worcester, MA 01610, USA.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|January 1, 1995
PubMed
Summary

Higher surgeon volume for specific procedures like cholecystectomy, prostatectomy, and intervertebral disc surgery is linked to lower hospital charges and shorter lengths of stay. This surgeon experience impacts healthcare costs and efficiency.

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Area of Science:

  • Health Services Research
  • Surgical Outcomes
  • Healthcare Economics

Background:

  • Surgeon experience and patient outcomes are frequently studied.
  • The relationship between surgeon volume and healthcare costs requires further investigation.

Purpose of the Study:

  • To determine if higher surgeon volume correlates with reduced hospital charges and length of stay for specific surgical procedures.
  • To identify potential cost-saving and efficiency improvements in surgical care.

Main Methods:

  • Analysis of 1991 MedisGroups Comparative Hospital Database for 43 Pennsylvania hospitals.
  • Regression models examining total charges, ancillary charges, and length of stay.
  • Focus on four procedures: cholecystectomy, prostatectomy, hysterectomy, and intervertebral disc excision.

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  • Control variables included patient demographics, illness severity, and insurance plan.

    • Main Results:

    • Significant negative association found between surgeon volume and hospital charges/length of stay for cholecystectomy, prostatectomy, and intervertebral disc surgery.
    • No significant volume effect observed for hysterectomy.
    • Surgeon experience appears to influence cost and efficiency for certain procedures.

    Conclusions:

    • Increasing surgeon volume for specific procedures may lead to substantial cost savings and improved hospital efficiency.
    • Policy and management strategies should consider surgeon experience when evaluating surgical care delivery.
    • Further research is needed to understand the lack of volume effect in hysterectomy.