Modelling a regional reorganization of cardiovascular surgery provision
The Nord-Pas-de-Calais region of France is under-served in terms of access to cardiovascular surgery services, as illustrated by relatively high levels of waiting list mortality. This prompted the decision to create a new surgical unit in the region's densely populated, former industrial heartl...
Gespeichert in:
| Veröffentlicht in: | Health & place 2005-09, Vol.11 (3), p.283-292 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 292 |
|---|---|
| container_issue | 3 |
| container_start_page | 283 |
| container_title | Health & place |
| container_volume | 11 |
| creator | Quesnel-Barbet, Anne Christine Nuttens, Marie Aublet-Cuvellier, Bruno Warembourg, Henri Prat, Alain Jean Thumerelle, Pierre Beuscart, Régis |
| description | The Nord-Pas-de-Calais region of France is under-served in terms of access to cardiovascular surgery services, as illustrated by relatively high levels of waiting list mortality. This prompted the decision to create a new surgical unit in the region's densely populated, former industrial heartland called the “Mining Basin”. Geographical and epidemiological modelling was used prospectively to estimate the likely future level of activity of the existing public sector cardiovascular surgery units. Information on the regional population distribution and the likely pattern of service use enabled us to estimate the new unit's potential activity. Our simulations produced nine scenarios which describe variations in the existing public units’ activity ranging from −54% to +95%. This type of approach should enable policy makers to improve the organization of healthcare provision. |
| doi_str_mv | 10.1016/j.healthplace.2004.06.007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_02006804v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1353829204001157</els_id><sourcerecordid>67522015</sourcerecordid><originalsourceid>FETCH-LOGICAL-c460t-f24e3f962f1b7bc016140bc4f888b83ee8524514941ac74d11e25dea28ab6de43</originalsourceid><addsrcrecordid>eNqNkM1O6zAQRi0E4v8VUNggsUgYO07iLlF1LyAVsYG1NXEmras0LnZSCZ4eV62AJSuPRmdm_B3GrjlkHHh5t8wWhN2wWHdoKBMAMoMyA6gO2ClXVZ4KKORhrPMiT5WYiBN2FsISAEol-TE74UVVyTyXp-zh2TXUdbafJ5h4mlvXYxcL5-fY208cYiNxbWLQN9ZtMJixQ5-E0c_JfyRr7zY2ROaCHbXYBbrcv-fs7f-_1-ljOnt5eJrez1IjSxjSVkjK20kpWl5XtYlhuITayFYpVaucSBVCFlxOJEdTyYZzEkVDKBTWZUMyP2e3u70L7PTa2xX6D-3Q6sf7md72QGxTgtzwyN7s2PjL95HCoFc2mJgWe3Jj0GVVCAG8iOBkBxrvQvDUfm_moLfG9VL_Mq63xjWUOhqPs1f7I2O9ouZncq84AtMdQFHLxpLXwVjqDTXWkxl04-wfznwBukGYBQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67522015</pqid></control><display><type>article</type><title>Modelling a regional reorganization of cardiovascular surgery provision</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Quesnel-Barbet, Anne ; Christine Nuttens, Marie ; Aublet-Cuvellier, Bruno ; Warembourg, Henri ; Prat, Alain ; Jean Thumerelle, Pierre ; Beuscart, Régis</creator><creatorcontrib>Quesnel-Barbet, Anne ; Christine Nuttens, Marie ; Aublet-Cuvellier, Bruno ; Warembourg, Henri ; Prat, Alain ; Jean Thumerelle, Pierre ; Beuscart, Régis</creatorcontrib><description>The Nord-Pas-de-Calais region of France is under-served in terms of access to cardiovascular surgery services, as illustrated by relatively high levels of waiting list mortality. This prompted the decision to create a new surgical unit in the region's densely populated, former industrial heartland called the “Mining Basin”. Geographical and epidemiological modelling was used prospectively to estimate the likely future level of activity of the existing public sector cardiovascular surgery units. Information on the regional population distribution and the likely pattern of service use enabled us to estimate the new unit's potential activity. Our simulations produced nine scenarios which describe variations in the existing public units’ activity ranging from −54% to +95%. This type of approach should enable policy makers to improve the organization of healthcare provision.</description><identifier>ISSN: 1353-8292</identifier><identifier>EISSN: 1873-2054</identifier><identifier>DOI: 10.1016/j.healthplace.2004.06.007</identifier><identifier>PMID: 15774334</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Accessibility ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - surgery ; Cardiovascular Diseases, epidemiologic methods, geography ; Cardiovascular surgery ; Child ; Child, Preschool ; Epidemiologic Studies ; Female ; France - epidemiology ; Geographical and epidemiological methods ; Health Services Accessibility ; Health technology assessment ; Humanities and Social Sciences ; Humans ; Infant ; Infant, Newborn ; Life Sciences ; Male ; Medically Underserved Area ; Middle Aged ; PMSI database ; Regional Health Planning ; Spatial modelling</subject><ispartof>Health & place, 2005-09, Vol.11 (3), p.283-292</ispartof><rights>2005 Elsevier Ltd</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-f24e3f962f1b7bc016140bc4f888b83ee8524514941ac74d11e25dea28ab6de43</citedby><cites>FETCH-LOGICAL-c460t-f24e3f962f1b7bc016140bc4f888b83ee8524514941ac74d11e25dea28ab6de43</cites><orcidid>0000-0003-1038-7344</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1353829204001157$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15774334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-02006804$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Quesnel-Barbet, Anne</creatorcontrib><creatorcontrib>Christine Nuttens, Marie</creatorcontrib><creatorcontrib>Aublet-Cuvellier, Bruno</creatorcontrib><creatorcontrib>Warembourg, Henri</creatorcontrib><creatorcontrib>Prat, Alain</creatorcontrib><creatorcontrib>Jean Thumerelle, Pierre</creatorcontrib><creatorcontrib>Beuscart, Régis</creatorcontrib><title>Modelling a regional reorganization of cardiovascular surgery provision</title><title>Health & place</title><addtitle>Health Place</addtitle><description>The Nord-Pas-de-Calais region of France is under-served in terms of access to cardiovascular surgery services, as illustrated by relatively high levels of waiting list mortality. This prompted the decision to create a new surgical unit in the region's densely populated, former industrial heartland called the “Mining Basin”. Geographical and epidemiological modelling was used prospectively to estimate the likely future level of activity of the existing public sector cardiovascular surgery units. Information on the regional population distribution and the likely pattern of service use enabled us to estimate the new unit's potential activity. Our simulations produced nine scenarios which describe variations in the existing public units’ activity ranging from −54% to +95%. This type of approach should enable policy makers to improve the organization of healthcare provision.</description><subject>Accessibility</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - surgery</subject><subject>Cardiovascular Diseases, epidemiologic methods, geography</subject><subject>Cardiovascular surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Epidemiologic Studies</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Geographical and epidemiological methods</subject><subject>Health Services Accessibility</subject><subject>Health technology assessment</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Medically Underserved Area</subject><subject>Middle Aged</subject><subject>PMSI database</subject><subject>Regional Health Planning</subject><subject>Spatial modelling</subject><issn>1353-8292</issn><issn>1873-2054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1O6zAQRi0E4v8VUNggsUgYO07iLlF1LyAVsYG1NXEmras0LnZSCZ4eV62AJSuPRmdm_B3GrjlkHHh5t8wWhN2wWHdoKBMAMoMyA6gO2ClXVZ4KKORhrPMiT5WYiBN2FsISAEol-TE74UVVyTyXp-zh2TXUdbafJ5h4mlvXYxcL5-fY208cYiNxbWLQN9ZtMJixQ5-E0c_JfyRr7zY2ROaCHbXYBbrcv-fs7f-_1-ljOnt5eJrez1IjSxjSVkjK20kpWl5XtYlhuITayFYpVaucSBVCFlxOJEdTyYZzEkVDKBTWZUMyP2e3u70L7PTa2xX6D-3Q6sf7md72QGxTgtzwyN7s2PjL95HCoFc2mJgWe3Jj0GVVCAG8iOBkBxrvQvDUfm_moLfG9VL_Mq63xjWUOhqPs1f7I2O9ouZncq84AtMdQFHLxpLXwVjqDTXWkxl04-wfznwBukGYBQ</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>Quesnel-Barbet, Anne</creator><creator>Christine Nuttens, Marie</creator><creator>Aublet-Cuvellier, Bruno</creator><creator>Warembourg, Henri</creator><creator>Prat, Alain</creator><creator>Jean Thumerelle, Pierre</creator><creator>Beuscart, Régis</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>BXJBU</scope><scope>IHQJB</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0003-1038-7344</orcidid></search><sort><creationdate>20050901</creationdate><title>Modelling a regional reorganization of cardiovascular surgery provision</title><author>Quesnel-Barbet, Anne ; Christine Nuttens, Marie ; Aublet-Cuvellier, Bruno ; Warembourg, Henri ; Prat, Alain ; Jean Thumerelle, Pierre ; Beuscart, Régis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-f24e3f962f1b7bc016140bc4f888b83ee8524514941ac74d11e25dea28ab6de43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Accessibility</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - surgery</topic><topic>Cardiovascular Diseases, epidemiologic methods, geography</topic><topic>Cardiovascular surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Epidemiologic Studies</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>Geographical and epidemiological methods</topic><topic>Health Services Accessibility</topic><topic>Health technology assessment</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Medically Underserved Area</topic><topic>Middle Aged</topic><topic>PMSI database</topic><topic>Regional Health Planning</topic><topic>Spatial modelling</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quesnel-Barbet, Anne</creatorcontrib><creatorcontrib>Christine Nuttens, Marie</creatorcontrib><creatorcontrib>Aublet-Cuvellier, Bruno</creatorcontrib><creatorcontrib>Warembourg, Henri</creatorcontrib><creatorcontrib>Prat, Alain</creatorcontrib><creatorcontrib>Jean Thumerelle, Pierre</creatorcontrib><creatorcontrib>Beuscart, Régis</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société (Open Access)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Health & place</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quesnel-Barbet, Anne</au><au>Christine Nuttens, Marie</au><au>Aublet-Cuvellier, Bruno</au><au>Warembourg, Henri</au><au>Prat, Alain</au><au>Jean Thumerelle, Pierre</au><au>Beuscart, Régis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modelling a regional reorganization of cardiovascular surgery provision</atitle><jtitle>Health & place</jtitle><addtitle>Health Place</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>11</volume><issue>3</issue><spage>283</spage><epage>292</epage><pages>283-292</pages><issn>1353-8292</issn><eissn>1873-2054</eissn><abstract>The Nord-Pas-de-Calais region of France is under-served in terms of access to cardiovascular surgery services, as illustrated by relatively high levels of waiting list mortality. This prompted the decision to create a new surgical unit in the region's densely populated, former industrial heartland called the “Mining Basin”. Geographical and epidemiological modelling was used prospectively to estimate the likely future level of activity of the existing public sector cardiovascular surgery units. Information on the regional population distribution and the likely pattern of service use enabled us to estimate the new unit's potential activity. Our simulations produced nine scenarios which describe variations in the existing public units’ activity ranging from −54% to +95%. This type of approach should enable policy makers to improve the organization of healthcare provision.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>15774334</pmid><doi>10.1016/j.healthplace.2004.06.007</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1038-7344</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1353-8292 |
| ispartof | Health & place, 2005-09, Vol.11 (3), p.283-292 |
| issn | 1353-8292 1873-2054 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_02006804v1 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Accessibility Adolescent Adult Aged Aged, 80 and over Cardiovascular Diseases - epidemiology Cardiovascular Diseases - surgery Cardiovascular Diseases, epidemiologic methods, geography Cardiovascular surgery Child Child, Preschool Epidemiologic Studies Female France - epidemiology Geographical and epidemiological methods Health Services Accessibility Health technology assessment Humanities and Social Sciences Humans Infant Infant, Newborn Life Sciences Male Medically Underserved Area Middle Aged PMSI database Regional Health Planning Spatial modelling |
| title | Modelling a regional reorganization of cardiovascular surgery provision |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T19%3A09%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Modelling%20a%20regional%20reorganization%20of%20cardiovascular%20surgery%20provision&rft.jtitle=Health%20&%20place&rft.au=Quesnel-Barbet,%20Anne&rft.date=2005-09-01&rft.volume=11&rft.issue=3&rft.spage=283&rft.epage=292&rft.pages=283-292&rft.issn=1353-8292&rft.eissn=1873-2054&rft_id=info:doi/10.1016/j.healthplace.2004.06.007&rft_dat=%3Cproquest_hal_p%3E67522015%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=67522015&rft_id=info:pmid/15774334&rft_els_id=S1353829204001157&rfr_iscdi=true |