Stephen Duckett

speaker
921 appearances 12 recordings 1 series first heard Jun 2006 last heard May 2019

Stephen Duckett’s voice in public audio — every appearance, attributed to the second.

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And I so I think But not by the individual surgeon.
They have the information by the individual surgeon.
They're publishing the information by individual surgeon without naming the individual surgeon.
I don't like putting the burden of health reform on individual patients and consumers.
The power differences between patients and consumers are
So great.
And so when you say, look, we want the consumer to negotiate with the surgeon, that is really, really hard.
You want to have the consumer to have information before they lock themselves into even a visit to a surgeon.
Because once they've gone into the waiting room, they've already had to pay a consultation fee and they might feel that they're locked in.
And so I think we've got to make sure that the people with the power
the Commonwealth Government, the health insurance funds are acting much more on their patients' behalf than they have been in the past.
Well, the they vary as you know, uh, Norman, from from things that are resolved pretty quickly, uh uh nausea and vomiting is an example of that, to things which uh are quite m much more serious, falling out of bed, breaking your hip, medication errors.
So the full spectrum is there.
We estimate that there's about uh one in every four overnight patients has something go wrong, and that would be that full spectrum of things that can resolve quickly.
to things that are much more serious and some of them uh associated with death.
Well we looked at uh sometimes it's hard to to measure the impact on length of stay because the longer you stay in hospital the the more you risk.
So we just looked at procedural complications, those where the the actual complication takes place during the uh the surgery, and uh that adds in fact five days to the average person who has one of those.
They ha stay an extra five days in hospital.
Well there's huge variation.
Uh in in looking at uh on average, if you're uh just a uh any any stay in hospital, either same day or or overnight, uh there's uh eleven percent of patients have a complication.
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