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Related Experiment Videos

Total hip replacement: a case history

V J Keston1, A C Enthoven

  • 1Stanford University School of Business, CA, USA.

Health Care Management Review
|March 12, 1998
PubMed
Summary
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Total hip replacement innovations in the U.S. have successfully lowered healthcare costs and boosted patient outcomes. This article details 14 key strategies that contributed to these improvements.

Area of Science:

  • Orthopedic surgery
  • Health services research
  • Healthcare management

Background:

  • Total hip replacement (THR) is a common orthopedic procedure.
  • Historically, concerns existed regarding the cost-effectiveness of THR.
  • Improving quality of care while managing costs is a key healthcare challenge.

Purpose of the Study:

  • To analyze the historical trends in total hip replacement costs and quality in the U.S.
  • To identify innovations that have contributed to cost reduction and quality improvement in THR.
  • To provide a framework for implementing successful cost-saving and quality-enhancing strategies.

Main Methods:

  • Review of historical data on THR costs and quality metrics nationwide.
  • Identification and categorization of 14 distinct clinical and management innovations.

Related Experiment Videos

  • Analysis of the impact of these innovations on healthcare delivery and patient outcomes.

    • Main Results:

    • Nationwide decline in the cost of total hip replacements.
    • Concurrent improvement in the quality of total hip replacement procedures.
    • Successful implementation of diverse innovations, including patient education and competitive bidding.

    Conclusions:

    • Healthcare providers can achieve both cost reduction and quality enhancement in total hip replacement.
    • A combination of clinical and management innovations is effective in optimizing THR.
    • The U.S. experience with THR offers valuable lessons for healthcare systems globally.