Breaking barriers to successful implementation of day case laparoscopic cholecystectomy

Hdl Handle:
http://hdl.handle.net/10147/575043
Title:
Breaking barriers to successful implementation of day case laparoscopic cholecystectomy
Authors:
Reynolds, I; Bolger, J; Al-Hilli, Z; Hill, ADK
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jul-2015
URI:
http://hdl.handle.net/10147/575043
Abstract:
Laparoscopic cholecystectomy is a common procedure performed in both emergency and elective settings. Our aim was to analyse the trends in laparoscopic surgery in Ireland in the public and private healthcare systems. In particular we studied the trend in day case laparoscopic cholecystectomy. National HIPE data for the years 2010-2012 was obtained. Similar datasets were obtained from the three main health insurers. 19,214 laparoscopic cholecystectomies were carried out in Ireland over the 3-year period. More procedures were performed in the public system than the private system from 2010-2012. There was a steady increase in surgeries performed in the public sector, while the private sector remained static. Although the ALOS was significantly higher in the public sector, there was an increase in the rate of day case procedures from 416 (13%) to 762 (21.9%). The day case rates in private hospitals increased only slightly from 29 (5.1%) in 2010 to 40 (5.9%) in 2012. Day case laparoscopic cholecystectomy has been shown to be a safe procedure, however significant barriers remain in place to the implementation of successful day case units nationwide.
Item Type:
Article
Language:
en
Keywords:
SURGERY; DAY CARE

Full metadata record

DC FieldValue Language
dc.contributor.authorReynolds, Ien
dc.contributor.authorBolger, Jen
dc.contributor.authorAl-Hilli, Zen
dc.contributor.authorHill, ADKen
dc.date.accessioned2015-08-18T11:54:34Zen
dc.date.available2015-08-18T11:54:34Zen
dc.date.issued2015-07en
dc.identifier.urihttp://hdl.handle.net/10147/575043en
dc.description.abstractLaparoscopic cholecystectomy is a common procedure performed in both emergency and elective settings. Our aim was to analyse the trends in laparoscopic surgery in Ireland in the public and private healthcare systems. In particular we studied the trend in day case laparoscopic cholecystectomy. National HIPE data for the years 2010-2012 was obtained. Similar datasets were obtained from the three main health insurers. 19,214 laparoscopic cholecystectomies were carried out in Ireland over the 3-year period. More procedures were performed in the public system than the private system from 2010-2012. There was a steady increase in surgeries performed in the public sector, while the private sector remained static. Although the ALOS was significantly higher in the public sector, there was an increase in the rate of day case procedures from 416 (13%) to 762 (21.9%). The day case rates in private hospitals increased only slightly from 29 (5.1%) in 2010 to 40 (5.9%) in 2012. Day case laparoscopic cholecystectomy has been shown to be a safe procedure, however significant barriers remain in place to the implementation of successful day case units nationwide.en
dc.languageenen
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectSURGERYen
dc.subjectDAY CAREen
dc.titleBreaking barriers to successful implementation of day case laparoscopic cholecystectomyen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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