Type of question Example Description Examination of rare conditions, procedures, complications Sheffield et al. Association between cholecystectomy with vs without intraoperative cholangiography and risk of common duct injury. JAMA 2013…
© Springer-Verlag London 2014Justin B. Dimick and Caprice C. Greenberg (eds.)Success in Academic Surgery: Health Services ResearchSuccess in Academic Surgery10.1007/978-1-4471-4718-3_11 11. Studying What Happens in the OR Lane Frasier1 and Caprice C. Greenberg1 (1) Wisconsin Surgical Outcomes Research…
Fig. 10.1 Patient-centered outcomes: a paradigm shift In 2001, patient centered care was formally described by the Institute of Medicine as care that encompasses “qualities of compassion, empathy, and responsiveness…
Fig. 2.1 Timeline representing the evolution of comparative effectiveness research in each of its forms within the U.S. While there have been many public sector activities in CER including those…
The questions HSR asks broader questions. Rather than assessing clinical treatments, HSR questions often address the organization, delivery, financing, and regulation of the health care system The setting HSR studies…
Fig. 7.1 States adjusted bypass surgery 30-day mortality rate vs. adjusted average yearly decline in bypass surgery mortality risk (1987–1992), controlling for age, gender, race, admission for acute myocardial infarction,…
Policy option CMS adoption Selective referral National coverage decisions for selected procedures Refer patients to specific providers, i.e., “centers of excellence” Example: Bariatric surgery coverage linked to “center of excellence…
Fig. 5.1 Factors contributing to health care disparities. Size of font reflects perceived relative importance of factor (Reproduced from Haider et~al. [35]) 5.3.3.2 Hospital Volume Surgical outcomes are directly affected…
Program Name Established Scope Target audience Surgery-specific Financial incentives Level of reporting Data type VA NSQIP 1994 National – VA VA hospitals Yes No Hospital Clinical registry ACS NSQIP 2001/2005…
Recommendation Strategy Pursue patient safety initiatives that prevent medical injury Strengthen oversight and accountability mechanisms to better ensure the competencies of physicians and nurses Allow health care researcher access to…
