Changes in provision of health care by the province of Ontario have included forced reduction in the number of hospital beds. In this situation the needs of patients with orthopedic disabilities have been met by a dramatic increase in outpatient surgery. At the Hotel Dieu Hospital, Kingston, the total number of surgical procedures increased from 5516 in 1970 to 7260 in 1975. During this period the number of outpatient surgical procedures performed under general anesthesia rose from 820 in 1970 to 2927 in 1975, an increase of 264%. Of 1197 orthopedic procedures performed in 1975, 632 (52%) were performed on an outpatient basis. In the author's personal experience of outpatient surgery, which in 1975 included 38 meniscectomies, 10 major shoulder repairs, 28 foot reconstructions, 11 nerve releases, 14 tendon releases and 4 elbow arthroplasties, patient acceptance has been good. Adequate clinic facilities, trained nurses, appropriate anesthesia and patient education are essential if management in this locale is to be successful.
安大略省在医疗保健服务方面的变化包括强制减少医院病床数量。在这种情况下，通过大幅增加门诊手术满足了骨科残疾患者的需求。在金斯顿的迪厄医院，手术总例数从1970年的5516例增加到1975年的7260例。在此期间，全身麻醉下进行的门诊手术例数从1970年的820例增至1975年的2927例，增长了264%。1975年进行的1197例骨科手术中，632例（52%）是在门诊进行的。根据作者个人在门诊手术方面的经验（1975年包括38例半月板切除术、10例肩部大手术修复、28例足部重建、11例神经松解、14例肌腱松解和4例肘关节成形术），患者的接受度良好。若要在该地区成功开展管理工作，充足的诊所设施、训练有素的护士、合适的麻醉以及患者教育必不可少。
