13 - Health services research in plastic surgery

Abstract

Health services research (HSR) in plastic surgery takes a broader view of outcomes and delivery of care than traditional clinical research. As attention turns to equitable access and health, the role of insurance coverage, out-of-pocket cost, quality of care and patient-reported outcomes will be central to future research. In this chapter, methodologies that investigate these domains will be introduced with examples and key considerations for use. Health policy is an area for research and advocacy by plastic surgeons. Quality metrics continue to evolve, and future payment models may incorporate measures of both technical outcomes and patient experience. Plastic surgeons are innovators, but innovators encounter resistance to change and new ideas. The process of dissemination through implementation science provides a clear framework for recognition of barriers and facilitators to uptake of innovation. Finally, we introduce the promise of qualitative research which can provide a depth of understanding not captured in quantitative databases.