Montgomery Zachary A, Yedulla Nikhil R, Koolmees Dylan, Battista Eric, Parsons Iii Theodore W, Day Charles S
Department of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USA.
Bone Jt Open. 2021 Jul;2(7):562-568. doi: 10.1302/2633-1462.27.BJO-2021-0030.R1.
COVID-19-related patient care delays have resulted in an unprecedented patient care backlog in the field of orthopaedics. The objective of this study is to examine orthopaedic provider preferences regarding the patient care backlog and financial recovery initiatives in response to the COVID-19 pandemic.
An orthopaedic research consortium at a multi-hospital tertiary care academic medical system developed a three-part survey examining provider perspectives on strategies to expand orthopaedic patient care and financial recovery. Section 1 asked for preferences regarding extending clinic hours, section 2 assessed surgeon opinions on expanding surgical opportunities, and section 3 questioned preferred strategies for departmental financial recovery. The survey was sent to the institution's surgical and nonoperative orthopaedic providers.
In all, 73 of 75 operative (n = 55) and nonoperative (n = 18) providers responded to the survey. A total of 92% of orthopaedic providers (n = 67) were willing to extend clinic hours. Most providers preferred extending clinic schedule until 6pm on weekdays. When asked about extending surgical block hours, 96% of the surgeons (n = 53) were willing to extend operating room (OR) block times. Most surgeons preferred block times to be extended until 7pm (63.6%, n = 35). A majority of surgeons (53%, n = 29) believe that over 50% of their surgical cases could be performed at an ambulatory surgery centre (ASC). Of the strategies to address departmental financial deficits, 85% of providers (n = 72) were willing to work extra hours without a pay cut.
Most orthopaedic providers are willing to help with patient care backlogs and revenue recovery by working extended hours instead of having their pay reduced. These findings provide insights that can be incorporated into COVID-19 recovery strategies. Level of Evidence: III Cite this article: 2021;2(7):562-568.
与新型冠状病毒肺炎（COVID-19）相关的患者护理延误导致骨科领域出现了前所未有的患者护理积压。本研究的目的是调查骨科医疗服务提供者对于患者护理积压以及应对COVID-19大流行的财务复苏举措的偏好。
一个多医院三级医疗学术医疗系统的骨科研究联盟开展了一项三部分的调查，以考察医疗服务提供者对扩大骨科患者护理和财务复苏策略的看法。第1部分询问了关于延长门诊时间的偏好，第2部分评估了外科医生对扩大手术机会的意见，第3部分询问了部门财务复苏的首选策略。该调查发送给了该机构的外科和非手术骨科医疗服务提供者。
总共75名手术（n = 55）和非手术（n = 18）医疗服务提供者中的73人回复了调查。总共92%的骨科医疗服务提供者（n = 67）愿意延长门诊时间。大多数医疗服务提供者倾向于将门诊时间延长至工作日下午6点。当被问及延长手术排班时间时，96%的外科医生（n = 53）愿意延长手术室（OR）排班时间。大多数外科医生倾向于将排班时间延长至晚上7点（63.6%，n = 35）。大多数外科医生（53%，n = 29）认为他们超过50%的手术病例可以在门诊手术中心（ASC）进行。在应对部门财务赤字的策略中，85%的医疗服务提供者（n = 72）愿意加班且不减薪。
大多数骨科医疗服务提供者愿意通过延长工作时间而不是减薪来帮助解决患者护理积压和收入复苏问题。这些发现为可纳入COVID-19复苏策略的见解提供了依据。证据级别：III 引用本文：2021；2(7):562 - 568。
