ArticleThe Journal of surgical research2015
Innovation or rebranding, acute care surgery diffusion will continue.
Article in The Journal of surgical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgeon views regarding the adoption of a novel surgical innovation into clinical practice: systematic review.BJS open · 2024Pooled it
- The Power Law in Operating Room Management.Journal of medical systems · 2021Article
- Re-examining "Never Letting the Sun Rise or Set on a Bowel Obstruction" in the Era of Acute Care Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Identifying the fundamental structures and processes of care contributing to emergency general surgery quality using a mixed-methods Donabedian approach.BMC medical research methodology · 2020Article
- The association between self-declared acute care surgery services and operating room access: Results from a national survey.The journal of trauma and acute care surgery · 2019Article
- Pro-con debate on regionalization of emergency general surgery: controversy or common sense?Trauma surgery & acute care open · 2019Article
- The Impact of an Acute Care Surgery Model on General Surgery Service Productivity.Perioperative care and operating room management · 2018Article
- Geographic Diffusion and Implementation of Acute Care Surgery: An Uneven Solution to the National Emergency General Surgery Crisis.JAMA surgery · 2018Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundPatterns of adoption of acute care surgery (ACS) as a strategy for emergency general surgery (EGS) care are unknown.
methodsWe conducted a qualitative study comprising face-to-face interviews with senior surgeons responsible for ACS at 18 teaching hospitals chosen to ensure diversity of opinions and practice environment (three practice types [community, public or charity, and university] in each of six geographic regions [Mid-Atlantic, Midwest, New England, Northeast, South, and West]). Interviews were recorded, transcribed, and analyzed using NVivo (QSR International, Melbourne, Australia). We applied the methods of investigator triangulation using an inductive approach to develop a final taxonomy of codes organized by themes related to respondents' views on the future of ACS as a strategy for EGS. We applied our findings to a conceptual model on diffusion of innovation.
resultsWe found a paradox between ACS viewed as a health care delivery innovation versus a rebranding of comprehensive general surgery. Optimism for the future of ACS because of increased desirability for trauma and critical care careers as well as improved EGS outcomes was tempered by fear over lack of continuity, poor institutional resources, and uncertainty regarding financial viability. Our analysis suggests that the implementation of ACS, whether a true health care delivery innovation or an innovative rebranding, fits into the Rogers' diffusion of innovation theory.
conclusionsDespite concerns over resource allocation and the definition of the specialty, from the perspective of senior surgeons deeply entrenched in executing this care delivery model, ACS represents the new face of general surgery that will likely continue to diffuse from these early adopters.
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