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Implementing value-based healthcare in hand surgery: the benefits of procedure room operating

Natalie Blessley-Redgrave Orcid Logo, Hamish Laing Orcid Logo, Dean E Boyce

Journal of Hand Surgery (European Volume), Volume: 0(0)

Swansea University Author: Hamish Laing Orcid Logo

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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...

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Published in: Journal of Hand Surgery (European Volume)
ISSN: 1753-1934 2043-6289
Published: SAGE Publications 2025
Online Access: Check full text

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.
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.