Day Case Surgery Trends in England: The Influences of Target Setting and of General Practitioner Fundholding

作者: James Raftery , Andrew Stevens

DOI: 10.1177/135581969800300305

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摘要: Objectives:To describe the trends in proportion of elective surgery carried out as day cases, and impact setting targets introduction general practitioner (GP) fundholding on use surgery.Methods:Cross-sectional analysis Hospital Episode Statistics for England, 1990/1991 to 1994/1995, comparing procedures which were not set, types purchaser (GP fundholder health authority).Results:Elective surgical increased from 2.7 million 3.9 a 44% increase. Increased numbers cases (up 117%) accounted almost all total activity. The rose 35% 53% over period. Those set (over 25% surgery) had slightly lower case (34% compared 36%) but higher by 1994/1995 (57% 52%). GP fundholders generally proportions treated as...

参考文章(15)
A.F. MALINS, J.M. FIELD, P.M. NESLING, G.M. COOPER, Nausea and vomiting after gynaecological laparoscopy: comparison of premedication with oral ondansetron, metoclopramide and placebo BJA: British Journal of Anaesthesia. ,vol. 72, pp. 231- 233 ,(1994) , 10.1093/BJA/72.2.231
C. Ham, J. Shapiro, The future of fundholding BMJ. ,vol. 310, pp. 1150- 1151 ,(1995) , 10.1136/BMJ.310.6988.1150
S. A. Wheatley, J. M. Millar, *A. R. Jadad, Reduction of pain after laparoscopic sterilisation with local bupivacaine: a randomised, parallel, double-blind trial British Journal of Obstetrics and Gynaecology. ,vol. 101, pp. 443- 446 ,(1994) , 10.1111/J.1471-0528.1994.TB11920.X
A J Luff, R J Morris, A C Wainwright, Day case management in adjustable suture squint surgery Eye. ,vol. 7, pp. 694- 696 ,(1993) , 10.1038/EYE.1993.158
H. S. KADDOUR, Myringoplasty under local anaesthesia: day case surgery Clinical Otolaryngology. ,vol. 17, pp. 567- 568 ,(1992) , 10.1111/J.1365-2273.1992.TB01720.X
M. P. J. Yardley, Tonsillectomy, adenoidectomy and adenotonsillectomy: are they safe day case procedures? Journal of Laryngology and Otology. ,vol. 106, pp. 299- 300 ,(1992) , 10.1017/S0022215100119346
K J Lowe, D A Gregory, R I Jeffery, D L Easty, Suitability for day case cataract surgery. Eye. ,vol. 6, pp. 506- 509 ,(1992) , 10.1038/EYE.1992.107
Roger Beech, Myfanwy Morgan, Angela Reynolds, H.B. Devlin, A.V. Swan, Surgeons' views of day surgery: is there a consensus among providers? Journal of Public Health Medicine. ,vol. 14, pp. 192- 198 ,(1992)
S. F. Brewster, J. R. Farndon, S. Nicholson, The varicose vein waiting list: results of a validation exercise. Annals of The Royal College of Surgeons of England. ,vol. 73, pp. 223- 226 ,(1991)
E. A. Benson, M. N. Hartley, M. S. Coady, Provision and acceptability of day case breast biopsy: an audit of current practice. Annals of The Royal College of Surgeons of England. ,vol. 75, pp. 451- 452 ,(1993)