Pfefferle Kiel J, Dilisio Matthew F, Patti Brianna, Fening Stephen D, Junko Jeffrey T
Department of Orthopaedic Surgery, Summa Health System, Akron, OH, USA.
Department of Orthopaedic Surgery, Summa Health System, Akron, OH, USA. ; Austen BioInnovation Institute, Akron, OH, USA.
Clin Orthop Surg. 2015 Jun;7(2):207-10. doi: 10.4055/cios.2015.7.2.207. Epub 2015 May 18.
Rising health care costs and emphasis on value have placed the onus of reducing healthcare costs on the surgeon.
Financial data from 3,973 hip, knee, and shoulder arthroplasties performed at a physician owned orthopedic hospital was retrospectively reviewed over a two-year period. A wasted implant financial report was posted starting the second year of the study. Each surgeon's performance could be identified by his peers.
After posting of the financial report, 1.11% of all hip and knee arthroplasty cases had a waste event compared to 1.50% during the control year. Shoulder arthroplasty waste events occurred twice as often than that observed in hip and knee arthroplasty during the study period. A decrease in waste events was observed but was not statistically significant (p = 0.30).
Posting a non-blinded wasted implant data sheet was associated with a reduction in the number of wasted orthopedic surgical implants in this series, although the reduction was not statistically significant.
不断上涨的医疗保健成本以及对价值的强调，使得降低医疗成本的责任落在了外科医生身上。
回顾性分析了一家医生所有的骨科医院在两年期间进行的3973例髋、膝和肩关节置换手术的财务数据。从研究的第二年开始发布植入物浪费财务报告。每个外科医生的表现都能被同行识别。
发布财务报告后，所有髋膝关节置换病例中1.11%发生了浪费事件，而对照年为1.50%。在研究期间，肩关节置换浪费事件的发生率是髋膝关节置换的两倍。观察到浪费事件有所减少，但无统计学意义（p = 0.30）。
在本系列中，公布未设盲的植入物浪费数据表与骨科手术植入物浪费数量的减少相关，尽管减少幅度无统计学意义。
