Open AccessCholecystectomy
Author(s) -
Kimberly D. Saunders-Kirkwood,
Bernardo Aizen,
Jesse E. Thompson,
Michael J. Zinner,
Joe A. Cates,
Robert S. Bennion,
John Gill,
F Brian Boudi,
Joel J. Roslyn
Publication year - 1992
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-199204000-00003
Subject(s) - medicine , cholecystectomy , reimbursement , health care , subsidy , emergency medicine , general surgery , family medicine , market economy , economics , economic growth
The impact of our evolving health care system on a commonly performed surgical procedure, cholecystectomy, was assessed in a county-subsidized and private university hospital setting. Although condition on admission, use of resources, and outcome were unchanged in the private setting between 1980 and 1988, significant differences were noted among the largely uninsured patients at the county facility during this same time interval. There was a significant increase in the acuity of illness among patients undergoing cholecystectomy at the county hospital in 1988 as compared with 1980. These data suggest that alterations in reimbursement strategies and allocation of resources are significantly impacting on patient care, particularly in nonprivate health care facilities.