office-based procedures and anesthesia services grown so rapidly?
number and types
of surgical procedures
per-formed in the office setting have risen dramatically over the last
several years. This trend has been driven in part by the high facility fees
charged by both hospitals and ambulatory surgery centers. These costs are
usually not covered by third party payers for elective cosmetic proce-dures.
Convenience for the patient, as well as the surgeon, also plays a major role in
this changing trend. A surgical office is often a more comfortable setting for
the patient, thus creating a more relaxing experience. Other advantages of an
office-based procedure include a decreased risk of nosocomial infection, and
improved patient privacy since the staff is usually a small consistent group of
workers. It has been estimated that approximately 8 million procedures are done
annually in offices. These procedures cross many med-ical specialties,
including gastroenterology, urology, general surgery, dermatology, orthopedics,
plastic surgery, podiatry, and dentistry.