Electronic Thesis and Dissertation Repository

Thesis Format



Master of Science




Sanders, David

2nd Supervisor

Lawendy, Abdel-Rahman

Joint Supervisor


Canadian healthcare system is under immense economic pressure. In an attempt to resolve the problem, outpatient surgical services were offered to patients presenting with orthopaedic surgical complaints. An observational cohort study was carried out, comparing the conventional surgical setup to the newly designed high-efficiency setup that provided similar care, with a significantly lower operating cost. A total of 200 patients were enrolled in the study. Standardized and unstandardized questionnaires were used to evaluate pre-operative and post-operative patient data that reflected quality of life outcomes. Data was collected at enrolment and during post-operative follow-ups of up to 6 months. Results indicate that the equivalent patient outcomes were successfully achieved between the two patient groups; significant reduction in the cost of orthopaedic surgical services was obtained in high-efficiency surgical setup.

Summary for Lay Audience

Canadian patients face significant delays in access to many specialist healthcare services, primarily due to the significant increase in demand not matched by additional funding. Orthopaedic surgery has been one of the most highlighted specialties for prolonged wait times. The study summarizes a strategy that can be utilized to provide expedited healthcare services, making use of a high efficiency operating room setup. Cost efficiency of the high efficiency OR system, coupled with assessment of patient health and satisfaction outcomes were evaluated; while no differences in patient outcomes were found, significant cost savings were realized in the high efficiency operating room setup.