Measuring Quality in Minimally Invasive Gynecologic Surgery: What, How, and Why?

Abstract:

:In healthcare, the goal of maximizing value by improving the quality of care and lowering costs has been notoriously challenging to achieve. The fee-for-service model in gynecology and other fields has historically promoted the reduction of nonsurgical or minimally invasive approaches in favor of complex, often morbid procedures. In this review, we seek to define quality and value in the healthcare field and describe strategies that promote quality over production. We then discuss national, non-specialty-based efforts in the context of Surgical Care Improvement Project measures to improve quality of care. Finally, we present a case study through the Kaiser Permanente Minimally Invasive Hysterectomy Initiative, one such model that successfully built on the quality metrics of the foregoing strategies to improve patient care.

authors

Abel MK,Kho KA,Walter A,Zaritsky E

doi

10.1016/j.jmig.2018.11.013

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

321-326

issue

2

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(18)31363-3

journal_volume

26

pub_type

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