Introduction
Hand surgery is an important interface sub-speciality
encompassing orthopaedics and plastic surgery. The
importance of hand surgery is well recognised as much of
the function of the upper limb and thus personal and economic
productivity is dependent upon the hand’s proper
functioning, thus there is an overt need for a properly
planned, comprehensive, hand surgery service.2
Financial pressures on health services worldwide make
knowledge of likely future service use important for planning.
It has been acknowledged that there may be some
shortcomings in hand disease service provision and that
effective future planning is essential to ensure high standards
are maintained.1
Much has been made of population demographic shifts,
particularly the ageing population, leading to increases in
workload. However, changes in prevalence of diseases over
time will also contribute to an increase or decrease in
workload. It is possible that there will be a disproportionate
increase in surgical procedures commonly required in
elderly people, those with diabetes, and the obese, and
this must be met with adequate service provision and
planning.3 Workforce planning is integral to this, and there
has been much recent interest in a supply-demand model
for surgical training.4
In this paper we integrate two factors e demographic
IntroductionHand surgery is an important interface sub-specialityencompassing orthopaedics and plastic surgery. Theimportance of hand surgery is well recognised as much ofthe function of the upper limb and thus personal and economicproductivity is dependent upon the hand’s properfunctioning, thus there is an overt need for a properlyplanned, comprehensive, hand surgery service.2Financial pressures on health services worldwide makeknowledge of likely future service use important for planning.It has been acknowledged that there may be someshortcomings in hand disease service provision and thateffective future planning is essential to ensure high standardsare maintained.1Much has been made of population demographic shifts,particularly the ageing population, leading to increases inworkload. However, changes in prevalence of diseases overtime will also contribute to an increase or decrease inworkload. It is possible that there will be a disproportionateincrease in surgical procedures commonly required inelderly people, those with diabetes, and the obese, andthis must be met with adequate service provision andplanning.3 Workforce planning is integral to this, and therehas been much recent interest in a supply-demand modelfor surgical training.4In this paper we integrate two factors e demographic
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