Study on the association between general surgeon volume, professional skill and surgery outcome
- VernacularTitle:Ерөнхий мэс засалчийн ажлын ачаалал, ур чадвар ба мэс заслын үр дүнгийн нөлөөллийн судалгаа
- Author:
Janchiv J
1
;
Lkhagvasuren TS
;
Tseden P
;
Sergelen O
Author Information
1. "Nomun" Hospital
- Publication Type:Journal Article
- Keywords:
surgeon volume;
surgeon professional experience;
operation time;
the First Clinical hospital;
- From:Mongolian Medical Sciences
2014;170(4):49-54
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background: Several researchers had been previously done the health professional workload study,however, because of the lack of studies of the relationship between physicians’ volume and outcome, wedid not have enough evidence of the resource allocation, the surgery outcome and quality improvementin our country.Goal: The study was aimed to study general surgeon volume and surgery outcome.Materials and Methods: We randomly selected 1147 patients diagnosed with gallbladder disease whounderwent laparoscopic cholecystectomy (LC) and acute appendicitis from 2012-2013 at the First andThird Clinical hospital and Khovd province Regional Diagnostic and Treatment Center were included.Patient demographics and clinical information, such as drug cost, duration of surgery, and name ofsurgeons were derived from patient medical records. Surgeons’ information, such as age, gender,professional and academic degree, and work experience were derived from hospital human resourcedepartment and correlation analysis was performed to examine the association between surgeryduration, surgeon experience and drug cost.Results: Hospitals LC was done 51,3±32,8 minutes with 24900,70 tugriks, appendectomy was done52,7±31,4 minutes with 18361,00 tugriks of drug cost. The Third Clinical hospital surgeons operatedhigher costs (28631,34±16985,86tugriks) and shorter time (39,86±39,54 ìèí) of an appendectomy. Butthe First Clinical hospital surgeons incurred lower cost (8460,82±13231,40 tugriks) of appendectomy.However, there were no significant differences in operation time and drug average cost in appendectomyin terms of positive and weak correlation(r<0.5, p>0.05). Conclusion: General surgeon volume was notassociated with surgery outcome.
