Establishing a National Registry for Hand Surgery

被引:4
作者
Kane, Robert L. [1 ]
Chung, Kevin C. [1 ]
机构
[1] Univ Michigan, Sch Med, Dept Surg, Sect Plast Surg, Ann Arbor, MI USA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2020年 / 45卷 / 01期
基金
美国国家卫生研究院;
关键词
Clinical database; national registry; outcomes; quality improvement; value; QUALITY MEASUREMENT; SURGICAL QUALITY; FUTURE; CARE;
D O I
10.1016/j.jhsa.2019.09.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Hand surgery leadership in the United States must identify and define what quality care means for its patients. To achieve this, the surgical team needs a standardized framework to track and improve quality. This is necessary not only in our value-based health care system but also in light of considerable provider variation in the management of common hand conditions and the ongoing need for evidence-based guidelines to inform decision-making. Building a national registry for the field of hand surgery could be the solution and warrants serious consideration. A registry designed by hand surgery experts can collect data on process and outcome measures that are meaningful and specific to patients with hand conditions. These data inform the surgical team regarding where to focus their efforts for improvement. Existing methods of quality measurement are not compatible with hand surgery, a field with an ambulatory setting and rare incidence of mortality. Patient-reported outcomes, such as health-related quality of life, represent a more useful measure of quality for hand surgery and are just one example of the type of data that could be tracked using a national registry. An investment in a large-scale registry could seamlessly integrate patient preferences, values, and expectations into clinical practice so that desired outcomes can be delivered consistently across the nation. Copyright (C) 2020 by the American Society for Surgery of the Hand. All rights reserved.
引用
收藏
页码:57 / 61
页数:5
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