Erschienen in:
01.10.2010 | Healthcare Policy and Outcomes
A Tale of Two Provinces: Regionalization of Pancreatic Surgery in Ontario and Quebec
verfasst von:
Christopher J. Sonnenday, MD, MHS, John D. Birkmeyer, MD
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 10/2010
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Excerpt
Evidence has accumulated over several decades suggesting that high-volume surgeons and hospitals achieve better clinical results with selected surgical procedures.
1,
2 Volume-outcome relationships are particularly strong for high-risk but infrequently performed procedures such as esophagectomy, hepatic resection, and pancreatic resection, where low-volume providers may perform only a few operations a year. In the United States, efforts to concentrate such procedures in high-volume centers have included selective referral initiatives by payer coalitions, public reporting of hospital caseloads by Internet rating firms, and guidelines from professional organizations.
3 However, it remains unclear whether these efforts have been successful in concentrating care or, more importantly, in reducing mortality with high-risk procedures. …
