Same-Day Surgery Clinic: A model for improving access to care at academic medical centers - 06/03/23
Abstract |
Background |
Best-practice models delivering surgical care in the preoperative setting are unknown. In April 2018, we established a Same-Day Clinic (SDC) to increase the access and efficiency of general surgical care delivery.
Methods |
This is a single-institution retrospective cohort study. We included patients who underwent elective laparoscopic cholecystectomy, inguinal or umbilical hernia repair. 112 patients were seen in the year prior to clinic creation; 84 were seen in the year following clinic creation.
Results |
After clinic creation, the percentage of patients referred following an emergency department encounter decreased from 33.4 to 17.9%. Patients referred from primary care encounters increased from 28.6 to 44%. Patients who underwent pre-referral imaging decreased from 58.9% to 44%. The SDC cohort was seen 11 days sooner (40 vs. 29d).
Conclusion |
The SDC increases access and decreases wait times to surgical treatment. It strengthens referral networks for traditionally underserved populations and reduces the burden of non-necessary preoperative imaging.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | There is a lack of best-practice models for delivering outpatient surgical care. |
• | Improving timely access to outpatient surgical care likely decreases ED utilization. |
• | A Same-Day Surgery Clinic model improves community access to surgical care. |
• | For surgical problems, surgeon-led imaging is superior in diagnosis and efficiency. |
Keywords : Access to care, Surgery wait times, Care delivery models, Cost effective care, Elective general surgery
Plan
Vol 225 - N° 2
P. 374-377 - février 2023 Retour au numéro
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