OBJECTIVE To evaluate the impact of regionalization on the outcomes of 16 surgical procedures performed in the Capital Health Region (Edmonton) of Alberta. DESIGN A computer search of hospital discharge abstracts coded for the Canadian Institute for Health Information. SETTING Two major hospitals in Edmonton. PATIENTS The study population comprised 9250 patients (9727 procedures [4524, pr...

This article examines the impact of EU enlargement on regionalization in the Czech Republic. It asks whether pre-accession preparations for EU regional policy have promoted regionalization and governmental decentralization in the Czech Republic, a question prompted by the debate about EU regional policy and regionalization in the current Member States. After reviewing Czech preparations for EU ...

Regionalization for stroke care, including stroke center designation, is being implemented in the United States, Canada, or other countries. Limited information is available, however, concerning the relationships among regionalization, processes, and outcomes for stroke care. We examined the association of regionalization with processes and outcomes, and the mediating effect of processes of car...

BACKGROUND The regionalization of trauma care, the Emergency Medical Treatment and Active Labor Act of 1986, the advent of Accountable Care Organizations and bundled payments have brought Level 1 trauma centers (TC) to a new crossroads. By protocol, injured patients are preferentially transferred to designated TCs when a higher level of care is indicated. Trauma transfers frequently come during...

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...

today the term globalization is associated with concepts such as unity of economies and societies, the merging of civilizations, of manufacturing and trading companies with banks, change of customs’ policies, increase of trading relations, development of cultural and diplomatic relations, worries of developing countries. globalization is in the best interests of a country if that country has fu...

Regionalization of the cerebral cortex is thought to involve two phases: an early regionalization phase and a later refinement phase. It has been shown that early regionalization of the neocortex does not require thalamic inputs and is regulated by intrinsic factors. Recently, two such intrinsic factors, Pax6 and Emx2, have been identified. In this study, we identified COUP-TFI as a regulatory ...

We present a generalized model to assess the impact of regionalization on patient care outcomes in the presence of heterogeneity in provider learning. The model characterizes best regionalization policies as optimal allocations of patients across providers with heterogeneous learning abilities. We explore issues that arise when solving for best regionalization, which depends on statistically es...

OBJECTIVE To test the feasibility of accomplishing the American College of Surgeons Committee on Trauma benchmarks of less than 5% undertriage (treatment of patients with moderate to severe injuries at nontrauma centers [NTCs]) and less than 50% overtriage (transfer of patients with minor injuries to trauma centers [TCs]) given current practice patterns by describing transfer patterns for patie...