Impact of the Economic Downturn on Adult Reconstruction Surgery: A Survey of the American Association of Hip and Knee Surgeons
Section snippets
Materials and Methods
Data were collected with a 24-question survey (Fig. 1) of the AAHKS Membership, which categorized the impact of the economic downturn on the practice of orthopedic adult hip and knee reconstruction surgery. The survey further delineated the impact of the economic downturn on surgical volume, patient volume, changes in practice type, changes in hospital relationship, TJA cost control strategies, employment staffing patterns, tolerance of medical reimbursement decreases, attitudes toward health
Results
The survey was distributed to all 953 active AAHKS members in 4 stages (prenotice, fax, survey cover letter and questionnaire by first class mail, and 2 fax reminders) over a 4-week period in October 2009, and 458 members responded for a 48.1% survey response rate. The 458 respondents established a 95% confidence level of plus or minus 5% for the survey results. A minimum of 274 respondents was needed to achieve the 95% confidence level of 5% for a sample size of 953, as developed by Dillman's
Discussion
Musculoskeletal conditions are responsible for more cost and more disability in the United States than any other group of diagnoses. As the population ages and life expectancy increases, these expenditures are likely to increase, and these increases will be larger now that health care coverage has been extended with the 2010 Healthcare Reform initiative 13, 14. The leading cause of disability in the United States is arthritis, which is associated with high health care costs, reduced quality of
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No benefits or funds were received in support of this study.