Journal article 402 views 84 downloads
Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
Journal of Hand Surgery (European Volume), Volume: 0(0)
Swansea University Author:
Hamish Laing
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Author accepted manuscript document released under the terms of a Creative Commons CC-BY licence using the Swansea University Research Publications Policy (rights retention).
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DOI (Published version): 10.1177/17531934251352348
Abstract
Health systems face rising demand and resource constraints, exacerbated by the SARS-CoV-2 (“COVID-19”) pandemic. Value-Based Healthcare prioritizes the achievement of outcomes that matter to patients at the lowest possible cost. The British Society for Surgery of the Hand guidance supports the perfo...
| Published in: | Journal of Hand Surgery (European Volume) |
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| ISSN: | 1753-1934 2043-6289 |
| Published: |
SAGE Publications
2025
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa69660 |
| Abstract: |
Health systems face rising demand and resource constraints, exacerbated by the SARS-CoV-2 (“COVID-19”) pandemic. Value-Based Healthcare prioritizes the achievement of outcomes that matter to patients at the lowest possible cost. The British Society for Surgery of the Hand guidance supports the performance of specific hand surgical procedures in a procedure room setting to increase capacity safely at lower cost. In this study, application of this guidance was applied to all hand surgery procedures carried out over a 6-year period in a single country (Wales) to determine the volume of procedures potentially suitable for a procedure room setting (4500 cases/year). Standard costing methods were used to estimate financial and other resource savings associated with this change. Transferring suitable hand surgery procedures across Wales to a procedure room, from a standard operating theatre would have reduced costs by >£1million/year (>USD $1,500,000 / >Eur €1,300,000) and released many hours of operating theatre time for alternative use. |
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| Keywords: |
costing; efficiency; procedure room; time-driven activity-based costing; value-based hand surgery; value-based healthcare |
| College: |
Faculty of Humanities and Social Sciences |
| Funders: |
The authors received no financial support for the research and/or publication of this article. |

