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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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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...

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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
first_indexed 2025-06-09T15:12:49Z
last_indexed 2025-10-03T05:55:53Z
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spelling 2025-10-02T09:35:01.7876597 v2 69660 2025-06-09 Implementing value-based healthcare in hand surgery: the benefits of procedure room operating be60df55bc8e44cf2aacf7230876588d 0000-0002-5661-7937 Hamish Laing Hamish Laing true false 2025-06-09 CBAE 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. Journal Article Journal of Hand Surgery (European Volume) 0(0) SAGE Publications 1753-1934 2043-6289 costing; efficiency; procedure room; time-driven activity-based costing; value-based hand surgery; value-based healthcare 25 6 2025 2025-06-25 10.1177/17531934251352348 COLLEGE NANME Management School COLLEGE CODE CBAE Swansea University Not Required The authors received no financial support for the research and/or publication of this article. 2025-10-02T09:35:01.7876597 2025-06-09T15:57:09.3243069 Faculty of Humanities and Social Sciences School of Management - Business Management Natalie Blessley-Redgrave 0000-0002-0164-0750 1 Hamish Laing 0000-0002-5661-7937 2 Dean E Boyce 3 69660__34436__9939158d7cae4132a3513321fb057857.pdf JHSEur VBHS complete.pdf 2025-06-09T16:09:54.7009864 Output 786723 application/pdf Accepted Manuscript true Author accepted manuscript document released under the terms of a Creative Commons CC-BY licence using the Swansea University Research Publications Policy (rights retention). true eng https://creativecommons.org/licenses/by/4.0/deed.en 324 NHS Wales (DHCW) natalie.redgrave@gmail.com false 4
title Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
spellingShingle Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
Hamish Laing
title_short Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
title_full Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
title_fullStr Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
title_full_unstemmed Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
title_sort Implementing value-based healthcare in hand surgery: the benefits of procedure room operating
author_id_str_mv be60df55bc8e44cf2aacf7230876588d
author_id_fullname_str_mv be60df55bc8e44cf2aacf7230876588d_***_Hamish Laing
author Hamish Laing
author2 Natalie Blessley-Redgrave
Hamish Laing
Dean E Boyce
format Journal article
container_title Journal of Hand Surgery (European Volume)
container_volume 0(0)
publishDate 2025
institution Swansea University
issn 1753-1934
2043-6289
doi_str_mv 10.1177/17531934251352348
publisher SAGE Publications
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Management - Business Management{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Management - Business Management
document_store_str 1
active_str 0
description 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.
published_date 2025-06-25T08:19:32Z
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