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

Devolution of hip and knee replacement surgery?

P C Coyte1, W Young, J I Williams

  • 1Institute for Clinical Evaluative Sciences, North York, Ont.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

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 effects of raw-meat diets on the gastrointestinal microbiota of the cat and dog: a review.

New Zealand veterinary journal·2021
Same author

[Primary aldosteronism: The Mayo Clinic approach].

Terapevticheskii arkhiv·2020
Same author

A cost-utility analysis of atezolizumab in the second-line treatment of patients with metastatic bladder cancer.

Current oncology (Toronto, Ont.)·2020
Same author

Annual relative increased in inpatient mortality from antimicrobial resistant nosocomial infections in Thailand.

Epidemiology and infection·2019
Same author

Economic evaluation of a publicly funded hepatitis A travel vaccination program in Ontario, Canada.

Vaccine·2019
Same author

Effect of kibble and raw meat diets on peripheral blood mononuclear cell gene expression profile in dogs.

Veterinary journal (London, England : 1997)·2018

Joint replacement (JR) referral patterns in Ontario showed no significant regional redistribution despite growth. Devolution to community hospitals requires substantial reallocation but offers potential cost savings.

Area of Science:

  • Health Services Research
  • Orthopedic Surgery
  • Health Economics

Background:

  • Joint replacement (JR) procedures have seen significant growth in Ontario.
  • Regional disparities in JR service provision and referral patterns have been observed.
  • Tertiary-care hospitals have historically dominated JR provision.

Purpose of the Study:

  • To analyze trends in joint replacement (JR) referral patterns in Ontario from 1988/89 to 1993/94.
  • To evaluate the financial impact of providing JRs to residents within their region of residence.
  • To estimate the financial implications of devolving primary JRs from tertiary to community hospitals.

Main Methods:

  • Retrospective analysis of JR referral data in Ontario.
  • Assessment of financial resource redistribution based on regional service provision.

Related Experiment Videos

  • Estimation of costs associated with the devolution of primary JRs.

    • Main Results:

    • Despite increased JR volume, no significant change in regional distribution occurred.
    • Community hospitals increased their JR share, impacting teaching hospitals.
    • Costs for providing JRs to non-residents in Central East Ontario rose from $5.9M to $8.3M.
    • Devolving primary JRs necessitates a $25.1M reallocation, with potential savings of $4.3M.

    Conclusions:

    • Devolving healthcare services faces obstacles like referral pattern modifications and expertise availability.
    • Improved clinical outcome data and patient-specific costing are needed for effective evaluation.
    • Service devolution must consider institutional compensation for medical education.