Opening ambulatory surgery centers and stone surgery rates in health care markets

The Journal of Urology
John M HollingsworthBrent K Hollenbeck

Abstract

Ambulatory surgery centers deliver surgical care more efficiently than hospitals but may increase overall procedure use and adversely affect competing hospitals. Motivated by these concerns we evaluated how opening of an ambulatory surgery center impacts stone surgery use in a health care market and assessed the effect of its opening on the patient mix at nearby hospitals. In a 100% sample of outpatient surgery from Florida we measured annual stone surgery use between 1998 and 2006. We used multiple regression to determine if the rate of change in use differed between markets, defined by the hospital service area, without and with a recently opened ambulatory surgery center. Stone surgery use increased an average of 11 procedures per 100,000 individuals per year (95% CI 1-20, p <0.001) after an ambulatory surgery center opened in a hospital service area. Four years after opening the relative increase in the stone surgery rate was approximately 64% higher (95% CI 27 to 102) in hospital service areas where a center opened vs hospital service areas without a center. These market level increases in surgery were not associated with decreased surgical volume at competing hospitals and the absolute change in patient disease severity t...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Aug 1, 1987·The Surgical Clinics of North America·J E Davis
Aug 1, 1996·The New England Journal of Medicine·H G WelchW P Welch
Jul 14, 2001·The New England Journal of Medicine·A V Diez RouxR L Watson
Feb 11, 2003·The Journal of Urology·Werner W HochreiterUrs E Studer
Mar 26, 2003·Health Services Research·Kelly J DeversLawrence P Casalino
Dec 3, 2003·Health Affairs·Lawrence P CasalinoLinda R Brewster
Feb 16, 2005·The Journal of Urology·Margaret S PearleUNKNOWN Urologic Diseases of America Project
Aug 11, 2005·Health Affairs·Sujit ChoudhryTroyen A Brennan

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Citations

Aug 1, 2013·The Laryngoscope·Melissa A Pynnonen, Matthew M Davis
Jul 8, 2014·Actas urologicas españolas·E García-GalisteoV Baena-González
Jan 2, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Gregory D SchroederAlexander R Vaccaro
May 2, 2017·Current Opinion in Urology·Daniel Pitts, Jesse D Sammon
Jan 22, 2017·World Journal of Urology·Noah E CanvasserYair Lotan
Aug 9, 2017·Clinical Spine Surgery : a Spine Publication·Gregory D SchroederAlexander R Vaccaro
Aug 21, 2019·Health Services Research·Florien M KrusePatrick P T Jeurissen
Jun 1, 2018·Clinical Spine Surgery : a Spine Publication·Gregory D SchroederAlexander R Vaccaro
Oct 16, 2012·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Christopher RobertsonAaron S Kesselheim
Feb 9, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Eric M BlackMark D Lazarus

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