Healthcare consolidation and the impact on surgical care delivery

Economic concerns have also driven surgical care towards the ambulatory environment as facility fees are significantly lower in the ambulatory/outpatient environment. [...]patients and insurers have a financial stake in where healthcare is delivered.2 The reduction in the need for in-hospital surgic...

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Bibliographic Details
Published in:The American journal of surgery 2023-10, Vol.226 (4), p.523-523
Main Author: Davis, Kimberly A.
Format: Article
Language:English
Subjects:
Clinical outcomes
Consolidation
Cost control
Health care
Hospitals
Impact analysis
Patients
Structure-function relationships
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Summary:Economic concerns have also driven surgical care towards the ambulatory environment as facility fees are significantly lower in the ambulatory/outpatient environment. [...]patients and insurers have a financial stake in where healthcare is delivered.2 The reduction in the need for in-hospital surgical care varies across institutions. Offsetting this is the potential for higher prices resulting from greater market power. [...]it is not surprising that studies evaluating the cost savings after consolidation are mixed. The association within hub hospitals of these two findings (case mix index and hospital volume as a surrogate for size) tend to validate the authors’ construct of the hub and spoke model of surgical care delivery.1 Future studies will need a more granular look at healthcare system structural and functional characteristics thus allowing an assessment of care delivery and patient outcomes.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.06.012