Value in Acute Care Surgery, Part 3: Defining Value in Acute Surgical Care - It Depends on the Perspective

Patricia R Ayoung-Chee; Amy V Gore; Brandon Bruns; Lisa M Knowlton; Jeffry Nahmias; Kimberly A Davis; Stefan Leichtle; Samuel W Ross; L R Scherer 3rd; Catherine Velopulos; R Shayn Martin; Kristan L Staudenmayer; AAST Health Economics Committee

doi:10.1097/TA.0000000000004347

Value in Acute Care Surgery, Part 3: Defining Value in Acute Surgical Care - It Depends on the Perspective

J Trauma Acute Care Surg. 2024 May 6. doi: 10.1097/TA.0000000000004347. Online ahead of print.

Affiliations

¹ Department of Surgery, Morehouse School of Medicine.
² Department of Surgery, Rutgers New Jersey Medical School.
³ Department of Surgery, University of Texas, Southwestern Medical Center.
⁴ Department of Surgery, Stanford University School of Medicine.
⁵ Department of Surgery, University of California, Irvine.
⁶ Department of Surgery, Yale School of Medicine.
⁷ Department of Surgery, University of Virginia School of Medicine.
⁸ Department of Surgery, Wake Forest School of Medicine.
⁹ Department of Surgery, Idaho College of Osteopathic Medicine.
¹⁰ Department of Surgery, University of Colorado Denver, Anschutz Medical Campus.

PMID: 38706096
DOI: 10.1097/TA.0000000000004347

Abstract

The prior articles in this series have focused on measuring cost and quality in acute care surgery. This third article in the series explains the current ways of defining value in acute care surgery, based on different stakeholders in the healthcare system - the patient, the healthcare organization, the payer and society. The heterogenous valuations of the different stakeholders require that the framework for determining high-value care in acute care surgery incorporates all viewpoints.