منابع مشابه
Regionalization versus competition in complex cancer surgery.
The empirical association between high hospital procedure volume and lower mortality rates has led to recommendations for the regionalization of complex surgical procedures. While regionalization may improve outcomes, it also reduces market competition, which has been found to lower prices and improve health care quality. This study estimates the potential net benefits of regionalizing the Whip...
متن کاملRegionalization and Outcomes of Lung Cancer Surgery in Ontario, Canada.
Purpose Regionalization of complex surgery to high-volume hospitals has been advocated based on cross-sectional volume-outcome studies. In April 2007, the agency overseeing cancer care in Ontario, Canada, implemented a policy to regionalize lung cancer surgery at 14 designated hospitals, enforced by economic incentives and penalties. We studied the effects of implementation of this policy. Meth...
متن کاملRegionalization of Brazilian pediatric cardiovascular surgery.
1. Especialista em Cirurgia Cardiovascular, mestre em Avaliação de Políticas Públicas pela Universidade Federal do Ceará (UFC), chefe de Cirurgia Cardiovascular Pediátrica do Hospital Messejana, Fortaleza, CE, Brasil. 2. Doutora em Enfermagem pela Universidade Federal do Ceará, docente do Curso de Mestrado Profissional em Avaliação de Políticas Públicas pela UFC, Fortaleza, CE, Brasil. 3. Docen...
متن کاملA cross-sectional retrospective analysis of the regionalization of complex surgery
BACKGROUND The Veterans Health Administration (VHA) system has assigned a surgical complexity level to each of its medical centers by specifying requirements to perform standard, intermediate or complex surgical procedures. No study to similarly describe the patterns of relative surgical complexity among a population of United States (U.S) civilian hospitals has been completed. METHODS DES...
متن کاملWill Patients Benefit from Regionalization of Gynecologic Cancer Care?
OBJECTIVE Patient chances for cure and palliation for a variety of malignancies may be greatly affected by the care provided by a treating hospital. We sought to determine the effect of volume and teaching status on patient outcomes for five gynecologic malignancies: endometrial, cervical, ovarian and vulvar carcinoma and uterine sarcoma. METHODS The Florida Cancer Data System dataset was que...
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ژورنال
عنوان ژورنال: JAMA Network Open
سال: 2018
ISSN: 2574-3805
DOI: 10.1001/jamanetworkopen.2018.4586