Patterns of otolaryngologic surgery utilization in Syracuse, NY.
Utilization of otolaryngologic surgical procedures performed in Syracuse, NY, during 1983 and 1984 was evaluated. Both inpatient and outpatient procedures were included; classification was according to diagnosis related groups. The system-wide portion of the analysis demonstrated that 62.5% of otolaryngologic operations carried out during the study were performed in outpatient settings. Total utilization was highest for myringotomies, tonsillectomies, and adenoidectomies, over 80% of which were performed on an outpatient basis. The program-specific portion of the analysis indicated that the highest volumes for these procedures were produced by a free-standing ambulatory surgery program with dedicated facilities and staff. However, a hospital-integrated program, which made use of inpatient resources, also served a majority of total hospital cases for several types of procedures.
Leopold
D A
DA
Lagoe
R J
RJ
D000233:Adenoidectomy / Q000706:statistics & numerical data; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D002391:Catchment Area, Health; D003953:Diagnosis-Related Groups; D005069:Evaluation Studies as Topic; D006801:Humans; D009518:New York; D010036:Otolaryngology / Q000592:standards; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data; D013531:Surgicenters / Q000706:statistics & numerical data; D014068:Tonsillectomy / Q000706:statistics & numerical data; D014432:Tympanic Membrane / Q000601:surgery; D014600:Utilization Review