Health care delivery is broken. The cost of care continues to skyrocket and the outcomes
most important to patients are often a mystery. Further, care is often delivered via
a fee-for-service model where surgeons are rewarded for the quantity, not the quality,
of services provided. Such a health care delivery system is not sustainable and does
not incentivize stakeholders to focus on the most important element of the health
care delivery “puzzle”: the patient. Fortunately, we are in the midst of transforming
our health care delivery system, with a focus on optimizing the value of care delivery
(ie, health outcomes achieved per dollar spent across a full care cycle). In hand
surgery, progress has been made as part of this health system evolution. However,
there remains much to accomplish. In this article, the authors review the 6 components
of a strategic agenda for moving to a high-value health care delivery system for hand
surgery, focusing on where we are today and where we need to go from here.
Key words
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Article info
Publication history
Published online: August 05, 2022
Accepted:
June 21,
2022
Received:
January 3,
2022
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2022 by the American Society for Surgery of the Hand. All rights reserved.
