EU accession has had an ambiguous impact on regionalization in the Czech Republic. While EU membership necessitated the creation of regional administrative structures to manage the Structural Funds, the role of new regional authorities was often undermined by the centralized nature of the accession process itself. Developments since accession have created a new dynamic in the debate over region...

BACKGROUND The purpose of this study was to examine trends in neck dissection and regionalization. METHODS This cross-sectional and longitudinal study used the years 2000, 2004, and 2006 data from the Nationwide Inpatient Sample. Chi-square tests compared trends for total neck dissections and specific subsites. To test regionalization, we examined the distribution of procedures across hospita...

This work aims at investigating the supply and demand of the medium-complexity services from the Federal District and surrounding municipalities from the state of Goiás. Our hypothesis is that the services organization offer of primary care (PC) from the Federal District (DF) and its surroundings overloads the medium-complexity services (MC), contributing to less equity in terms of communities ...

There has been accumulating evidence for a regionalized organization of the cerebellum, which was mostly deduced from anatomical mapping of axonal projections of cerebellar afferents. A likewise regionalization of the cerebellar output has been suggested from lesion studies and dye-tracer experiments, but its physiological targets as well as the functional relevance of such an output regionaliz...

Monthly shallow water-table depths can be predicted from climate forcings on a large scale by the combination of a transfer-function noise (TFN) model with a parameter regionalization scheme. To investigate the sensitivity of regionalized transfer-function noise (RTFN) models, simulations with different input series and parameter regionalization methods, combined with topographic external drift...

It is more than 50 years since John Grant and Andrija Stampar first proposed regionalization of health services around rural health centers, but it cannot be said that the widespread application of these concepts in developing countries has been very successful (3 ,4, 7). The causes of this failure are complex, but it has not been due to lack of trying. There have been numerous pilot projects, ...

Mobile prehospital care is a key component of emergency care. The aim of this study was to analyze the implementation of the State of Rio de Janeiro's Mobile Emergency Medical Service (SAMU, acronym in Portuguese). The methodology employed included document analysis, visits to six SAMU emergency call centers, and semistructured interviews conducted with 12 local and state emergency care coordin...

INTRODUCTION Quality of care is associated with patient volume. Regionalization of care is therefore one of the approaches that is suited to improve quality of care. A disadvantage of regionalization is that the accessibility of the facilities can decrease. By investigating the tradeoff between quality and accessibility it is possible to determine the optimal amount of treatment locations in a ...