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June 1986

Patterns of Otolaryngologic Surgery Utilization in Syracuse, NY

Author Affiliations

From the Department of Otolaryngology, State University of New York (Dr Leopold) and the Hospital Executive Council (Dr Lagoe), Syracuse, NY.

Arch Otolaryngol Head Neck Surg. 1986;112(6):623-627. doi:10.1001/archotol.1986.03780060035004

• 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 freestanding 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.

(Arch Otolaryngol Head Neck Surg 1986;112:623-627)