Value based surgery – the Journal of the ASGBI

Today, the Association of Surgeons of Great Britain and Ireland has published its Summer 2019 issue, including several contributions around a common topic: Value Based Surgery.

It has been an honour and a privilege to coordinate an outstanding group of surgeons, who have written thoughtful contributions regarding #Telemedicine, #PrecisionSurgery, #DigitalSurgery, #ERAS, and #Outcomes. The list of authors is as follows:

Muir Gray

Luis Sánchez-Guillen

Arfon Powell

Gemma Humm and Manish Chand

Mónica Millán

Rebecca Fish

I invite you to read their work here https://www.asgbi.org.uk/userfiles/file/journals/summer-2019-jasgbi.pdf

In order to transform the current practice of surgery into #ValuebasedSurgery, surgical leaders must address the following 5 common problems:

  1. Variability in quality and outcomes
  2. Harm
  3. Waste
  4. Inequities and Inequalities
  5. Lack of prevention

Coauthoring an article on #Valuebasedmedicine with Sir Muir Gray was particularly challenging, and funny. Quite an honour, and an unforgettable experience.

Transformar la Sanidad: abandonar el volumen, medir el valor

Si continuamos en un modelo de medicina «moderna», basada en medirnos el volumen de servicios que producimos, ningún sistema sanitario será sostenible (definida la sostenibilidad como dar más servicios por el mismo gasto o dar los mismos con menos).

Transformar la sanidad nos va a obligar a dejar en segundo plano la medida de recursos materiales, humanos y de cantidad de servicios que constituyen y proporciona el sistema, para empezar a priorizar la medida, cuantificación y comparación de los resultados que se genera para los usuarios.

Es decir, tenemos que empezar a medir el valor que produce el sistema para el individuo y para la población.