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Safe, efficient, and cost-effective orthognathic surgery in the outpatient setting.
J Oral Maxillofac Surg. 2009 Oct; 67(10):2064-71.JO

Abstract

There has been a dramatic decline in the number of orthognathic surgery cases over the past 15 to 20 years. This decrease is a result of several compounding factors including decreasing coverage by major medical insurance companies and increasing health care costs. The difficulty associated with making orthognathic surgery financially practical has turned the interest of many oral and maxillofacial surgeons away from orthognathic procedures. The combination of these factors has resulted in decreased availability of surgeons participating in the correction of dentofacial deformities and has forced orthodontists and patients, without surgical correction as an option, to settle for less-than-ideal treatment results. To reverse this trend and make surgery more affordable and available, surgeons must work to make surgical treatment more acceptable to patients. This can be accomplished in several ways. First, the oral and maxillofacial surgery profession must reinforce the importance and value of orthognathic surgery to insurance providers, patients, and referring clinicians, as well as to surgeons within our own specialty. Alternative methods for providing high-quality surgical services at a reasonable cost must be explored including providing options for cost-effective outpatient surgical care, making better arrangements for financial assistance, and exploring options to obtain coverage from third-party providers. Outpatient surgery in facilities that can substantially reduce cost can be an effective way of providing quality treatment that is affordable to patients. Efficient, safe, and effective outpatient orthognathic surgery will help patients benefit from this valuable service.

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Authors+Show Affiliations

Farrell BB
Department of Oral and Maxillofacial Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA. bfarrell@uomsnc.com
Tucker MR
No affiliation info available

MeSH

Ambulatory Surgical ProceduresAnesthesia Recovery PeriodAttitude to HealthCost ControlCost-Benefit AnalysisFacility Design and ConstructionFinancing, OrganizedFinancing, PersonalHealth Services AccessibilityHospital ChargesHumansInsurance CoverageInsurance, Health, ReimbursementOperating RoomsOral Surgical ProceduresOrthodontics, CorrectivePatient Acceptance of Health CareQuality of Health CareReferral and ConsultationReimbursement MechanismsSafetySurgicentersTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19761900

Citation

Farrell, Brian B., and Myron R. Tucker. "Safe, Efficient, and Cost-effective Orthognathic Surgery in the Outpatient Setting." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 67, no. 10, 2009, pp. 2064-71.
Farrell BB, Tucker MR. Safe, efficient, and cost-effective orthognathic surgery in the outpatient setting. J Oral Maxillofac Surg. 2009;67(10):2064-71.
Farrell, B. B., & Tucker, M. R. (2009). Safe, efficient, and cost-effective orthognathic surgery in the outpatient setting. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 67(10), 2064-71. https://doi.org/10.1016/j.joms.2009.04.096
Farrell BB, Tucker MR. Safe, Efficient, and Cost-effective Orthognathic Surgery in the Outpatient Setting. J Oral Maxillofac Surg. 2009;67(10):2064-71. PubMed PMID: 19761900.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Safe, efficient, and cost-effective orthognathic surgery in the outpatient setting. AU - Farrell,Brian B, AU - Tucker,Myron R, PY - 2008/12/23/received PY - 2009/04/17/accepted PY - 2009/9/19/entrez PY - 2009/9/19/pubmed PY - 2009/10/30/medline SP - 2064 EP - 71 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J Oral Maxillofac Surg VL - 67 IS - 10 N2 - There has been a dramatic decline in the number of orthognathic surgery cases over the past 15 to 20 years. This decrease is a result of several compounding factors including decreasing coverage by major medical insurance companies and increasing health care costs. The difficulty associated with making orthognathic surgery financially practical has turned the interest of many oral and maxillofacial surgeons away from orthognathic procedures. The combination of these factors has resulted in decreased availability of surgeons participating in the correction of dentofacial deformities and has forced orthodontists and patients, without surgical correction as an option, to settle for less-than-ideal treatment results. To reverse this trend and make surgery more affordable and available, surgeons must work to make surgical treatment more acceptable to patients. This can be accomplished in several ways. First, the oral and maxillofacial surgery profession must reinforce the importance and value of orthognathic surgery to insurance providers, patients, and referring clinicians, as well as to surgeons within our own specialty. Alternative methods for providing high-quality surgical services at a reasonable cost must be explored including providing options for cost-effective outpatient surgical care, making better arrangements for financial assistance, and exploring options to obtain coverage from third-party providers. Outpatient surgery in facilities that can substantially reduce cost can be an effective way of providing quality treatment that is affordable to patients. Efficient, safe, and effective outpatient orthognathic surgery will help patients benefit from this valuable service. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/19761900/Safe_efficient_and_cost_effective_orthognathic_surgery_in_the_outpatient_setting_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(09)00586-2 DB - PRIME DP - Unbound Medicine ER -