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J R Soc Med. 1986 December; 79(12): 713–714.
PMCID: PMC1290570

Orthopaedic operations: variation in case-mix over a 10-year period.

Abstract

The variation in case-mix of patients admitted for routine (non-emergency) orthopaedic surgery at a Staffordshire orthopaedic hospital over a 10-year period was studied, with the aid of the BUPA Schedule of Surgical Procedures. Over this period there was a 2% decrease in the total number of operations performed. There was a marked reduction in the number of 'minor' operations performed, and a marked increase in the number of 'major' and more complex operations performed. The overall workload, as judged by estimated surgeons' fees, rose by 43%. This study offers clear support to the claim that the complexity of orthopaedic operations performed has significantly increased over a ten-year period.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Fetter RB, Shin Y, Freeman JL, Averill RF, Thompson JD. Case mix definition by diagnosis-related groups. Med Care. 1980 Feb;18(2 Suppl):iii–53. [PubMed]
  • Horn SD, Schumacher DN. An analysis of case mix complexity using information theory and diagnostic related grouping. Med Care. 1979 Apr;17(4):382–389. [PubMed]
  • Lion J. Case-mix differences among ambulatory patients seen by internists in various settings. Health Serv Res. 1981 Winter;16(4):407–413. [PMC free article] [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press