Innovation inverse: Application de la recherche sur la charge mondiale de morbidité pour optimiser la prestation de chirurgie au Québec


Dan Poenaru

Institut de recherche du Centre universitaire de santé McGill


Domaine : service de santé

Programme Chercheurs-boursiers cliniciens - Junior 1

Concours 2019-2020

Surgical care is not as good as it should be – and, as a pediatric surgeon who has practiced for the past 25 years, my passion is to make it better. I believe that this can be done – are here's how.

When a patient is affected by a surgical illness, there are many factors which affect her or his chances of full recovery. In our society where the treatment is generally available and quality surgical care is standard, factors before and after the surgical intervention need to be optimized for outcomes to be the best possible. I will examine the waiting lists for some children's surgeries in Montréal and calculate how much patients suffer while waiting for surgery. I will also devise a new complication score for surgical procedures based on the combined burden that each procedure's complications place on patients, and then use this score to compare alternative treatments for various surgical conditions.  

The effect of all these studies will be to find practical ways for us to improve the surgical care of children in Quebec by optimizing access to surgical care, and by devising tools that will help shared decision-making between patients and their families and surgeons. Not only is this expected to improve the overall quality of surgical services in Quebec, but it is likely to save significant health care dollars by preventing unnecessary surgeries and avoiding the costs of treating some avoidable complications. I believe that this will bring better quality of care for children needing surgery in Quebec - and this will be good for us all.