Innovating for Value-Based Surgical Care in Canada: A Post-Pandemic Necessity.

Alana M Flexman, Janny Ke, Julie Hallet

Abstract read

In one paragraph

Article in Healthcare policy = Politiques de sante, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

A Problem of Money and Health: The Need for Value in Healthcare.Healthcare policy = Politiques de sante · 2023
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alana M FlexmanClinical Associate Professor, Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Anesthesiologist, Department of Anesthesia, St. Paul's Hospital/Providence Health Care, Affiliated Scientist, Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, BC.

Janny KeClinical Assistant Professor, Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, Anesthesiologist, Department of Anesthesia, St. Paul's Hospital/Providence Health Care, Vancouver, BC.

Julie HalletAssociate Professor, Department of Surgery, Division of General Surgery, University of Toronto, Surgical Oncologist, Sunnybrook Health Sciences Centre, Adjunct Scientist, ICES, Toronto, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Providing high-quality, efficient and cost-effective surgical care to Canadians has become increasingly challenging since the pandemic, resulting in long waitlists due to limited staff and resources. The pandemic has facilitated some areas of innovation in surgical care, notably in virtual care and expedited discharge, although many challenges remain. Key policy recommendations for reform include investing in infrastructure to collect and report on value-based metrics beyond volume, devising strategies to improve health equity, enhancing out-of-hospital support for surgical patients by using remote monitoring and digital technology, increasing patient segmentation into low- and high-complexity pathways, centralizing surgical triage and initiating careful financial incentivization of integrated groups of clinicians.

Indexed as

PandemicsCanadaHumans

Identifiers

PMID37486812

DOI10.12927/hcpol.2023.27094

PMCPMC10370401

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.