Proposing A Carpal Tunnel Treatment Centre

5331 words - 22 pages


Proposing a carpal tunnel treatment centre: The Shouldice model revisited
Hazim Sadideen, Faddy Sadideen

The Shouldice Hospital prides itself with excellent hernia repair outcomes. The Shouldice concept exhibits a unique, successful business model, and is a clear example of the concept of a highly innovative value proposition. Exploring Shouldice's fundamental principles and extrapolating them to other settings might help healthcare professionals offer improvements to patient care. Carpal tunnel syndrome (CTS) is the most common elective hand disorder, which can be debilitating for patients. Surgical intervention is extremely effective when necessary. It would be ...view middle of the document...

For iustauce, direct referral from a GP to a settiug where g confirmatory tests are uudertakeu, followed by I surgery itself, while allowiug patients to returu I home iu a timely manuer, can be an ideal siugle< î stage pathway for a commou surgical condition.

developed solely for surgical hernia repairs uuder local auaesthetic usiug the recognised Shouldice technique (which results iu extremely low recurrence rates), delivers afirst-classcliuical service and is an extremely successful business model. By operatiug ou healthy patieuts wdth uo medical co-morbidities aud uucomplicated heruias, it has focused ou a very narrow segment of the market, optimising its product aud service by elimiuatiug risks aud uucertaiuties associated with diversificatiou. By also providiug a 'holiday experience'

Hazim Sadideen Specialty Registrar, Department of Plastic and Reconstructive Surgery, University Hospitals Birmingham Faddy Sadideen Healthcare Consultant, London; INSEAD Alumni Email: hazim.sadideen@


The renowued Shouldice Hospital iu Cauada,
British Journal of Healthcare Management 2014 Vol 20 No 5 235


post-operatively, it has been reported that Shouldice Hospital provides an extremely high quality of care, excellent patient experience and faster recovery from hernia repairs, while requiring fewer surgeons and nurses, and operating at lower costs and higher efficiency, hence charging lower prices than competitors (Nettissine, 2012). It is unsurprising that the Shouldice business model has been used as a basis for developing other specialised healthcare services globally. In 2011, the winner of The Economist innovation award in the 'business process' category was Devi Shetty of Narayana Hrudayalaya Hospital in Bangalore, for reducing healthcare costs using mass production methods. The latter hospital performs more cardiac surgery—under general anaesthesia—at lower cost, with lower mortality rates when compared to leading Western hospitals (Nettissine, 2012). However, this hospital caters for several surgical specialities, to include oncology and anaesthesia. Adopting the Shouldice concept for a certain market niche requires extensive planning, coordination and execution. What other conditions could be targeted in a similar fashion? To be precise, what other relatively common surgical conditions in healthy patients can be repaired under local anaesthesia, providing immediate therapeutic effect, of reasonable durability? Given the authors' background in plastic, reconstructive and hand surgery, and healthcare management, it is proposed that carpal tunnel decompression (CTD) for carpal tunnel syndrome (CTS) could be a potential target that would fit this model, particularly in the current NHS climate. This review will begin by briefly expanding upon the Shouldice Hospital, its history and success, without exhausting detail, because this information is widely available elsewhere (Shouldice, 2013). It will then...

Other Papers Like Proposing a Carpal Tunnel Treatment Centre

Employ Law Essay

1269 words - 6 pages younger worker who is 40 or older (EEOC, 2008). 5. Stephanie Wilkens works in a typing pool for the law firm of Gunther, Wadkins, and Farmer. After six years, she has developed carpal tunnel syndrome. Stephanie’s requests for wrist guards and armrests have been met, but to date they have not been effective in alleviating her dilemma. She has requested a transfer to a position with comparable pay, but none are available. Because Stephanie can

Business Ethics Essay

1556 words - 7 pages screening in the workplace. Burlington Northern began testing after a number of their employees filed complaints due to carpal tunnel syndrome caused by work related activities. It is obvious that in this case that Burlington was merely reacting to employee grievances; which in most minds is much better than the alternative. The company could have faced accusations of employer negligence, failure to comply with federal safety regulations, and so on. (3


359 words - 2 pages affects the nerves in the upper arm. GANGLION CYSTS  these cysts are associated with cumulative trauma or repetitive motion. CARPAL TUNNEL SYNDROME  this condition is caused by excessive flexing or twisting of the wrists, especially where forced is used. DEQUERVAIN’S DISEASE  this is an inflammation of the tendons to the thumb. TRIGGER FINGER SYNDROME  this is another form of tendinitis caused by repetitive flexing of the fingers

He Nervous System

699 words - 3 pages of the muscles in the face following trauma to the face, and unknown infection, or a tumor pressing on the facial nerve rendering it paralyzed. 3. Carpal tunnel syndrome—A pinching or compression of the median nerve within the carpal tunnel due to inflammation and swelling of the tendons, causing intermittent or continuous pain that is greatest at night. 4. Cerebral concussion—A brief interruption of brain function, usually with a loss

Some Benefits in Proposing Higher Fee

792 words - 4 pages Besides some benefits we have analysed above. We make sure that proposing higher fees on personal vehicles and car which can create a financial source for traffic projects. Firstly, the communication infrastructure in the city center is extremely weak, unable to support the real demand.There is only 8% land area used for communication ,in the urban the number is just 5%.The international standard of the communication area has to reach to 20%-25

Prolozone Therapy

1820 words - 8 pages . Carpal tunnel syndrome 11. Hip pain 12. Knee pain 13. Torn meniscus 14. Low back pain 15. Sciatica 16. Plantar fasciitis 17. Bone on bone conditions 18. Sports Injuries 19. Post surgical pain 20. Prosthetic joints 21. Osteoarthritis 22. Fibromyalgia 23. Degenerative joint disease (DJD) 24. Neuromas. Back: Back pain is a common injury that can cause severe pain and interfere with the activities of daily living. Before the sudden onset of a

Acupuncture As An Alternative Medicine In The Western Culture

1751 words - 8 pages , surgery and pregnancy, and pain after surgery (including dental surgery). May also be an effective adjunct therapy for a number of other conditions, including stroke rehabilitation, relieving addictions, headaches, menstrual cramps, a variety of muscle pains, carpal tunnel syndrome, tennis elbow, low back pain, osteoarthritis, and asthma. Has substantially lower incidence of adverse side effects than that of many drugs or other accepted medical

Secretarial Career Essay

1277 words - 6 pages could also develop carpal tunnel syndrome, which is a repetitive motion disorder (“Secretaries and Administrative Assistants” 2). The employment prospect for a secretary is good. This is due to the fact that many job opportunities ascend from the need to replace secretaries who have transferred to another occupation. These opportunities increase for secretaries who have experience along with extended computer software knowledge and superior

Social Media

609 words - 3 pages the use of SNS’ teen encounters physical health problems as well. SNS nowadays, causes internet addition. Victims of internet addition have encountered a great deal of physical effects. “Internet overuse can lead to sedentary lifestyles, weight gain and a decline in physical fitness. Other symptoms can include carpal tunnel syndrome, dry eyes, migraine headaches, a decline in personal hygiene and back aches.” (Cocke, 2010) Although the existence

Smartphones Dumb People

1107 words - 5 pages a tablet or smartphone are seldom found to be a problem in the eyes of their parent. Reports of severe, long lasting health issues associated with technology are a staple in the news and media. While an adult may complain about his/her “Carpal Tunnel Syndrome” as a result of a day of rigorous Facebooking, a child may be enduring long lasting health issues from the same level of interaction. If we continue to turn a blind eye to our nation’s youth

Alternative Medicine

1801 words - 8 pages modern medicine can be diverse it also can be very complex and in contradiction with the human body. Most medicine is animal based and experimented on animals and sometimes even humans. But can our expectations be a little euphoric for positive results set on miraculous when using animal based medicines? Moreover we cannot negate the fact that modern medicine and medical treatment has helped people avoid and control diseases for several decades

Related Essays

Carpal Tunnel Syndrome Essay

534 words - 3 pages What is Carpal Tunnel Syndrome? Carpal tunnel syndrome is a painful nerve problem that disrupts the use of your hand or hands. At first, you may have numbness, tingling, or burning in your hands. Shooting pain in your wrist or forearm may come after, and your grip may become weak.Cause The cause of carpal tunnel syndrome is when the tissue or bone puts pressure on the nerve of the hand that runs from your neck through your wrist

48 Yr Old Man Presents To Er Stating My “Left Lower Leg Is Killing Me.”

948 words - 4 pages a day, and discharged home. Read More: Mrs. Jones presents to her primary care office with complaints of sharp pains in her wrists, forearms and fingers. The physician diagnoses her with carpal tunnel syndrome. ASSESSMENT: I would ask the patient to describe why she came to the office and how long she has been having these symptoms. I would ask what the pain feels like

Addiction (Internet And Games) Essay

1355 words - 6 pages go to work and his eyes are always tired. Signs of carpal tunnel syndrome are also showing where there is a frequent, repetitive, small movement with the hands (The Ohio State University, 2008). Health problems also arises such as myopia, poor posture and the person easily losses concentration. He begins to see these signs and thinks about getting help. Facilitating change in a person in the contemplation stage needs to be an effort of both

English Essay

524 words - 3 pages tendons. You can find ergonomic products everywhere in today’s society these products help to eliminate and reduce the odds of carpal tunnel syndrome (CTS) and activities of daily living (ADL). Many companies now offer pneumatic ergonomic desks that can accommodate either sitting or standing. These work stations are fantastic, particularly for people with lower back pain. Studies have shown that less pressure is placed on the discs of the lower