Simulated Volume-Based Regionalization of Complex Procedures: Impact on Spatial Access to Care

Simulated Volume-Based Regionalization of Complex Procedures: Impact on Spatial Access to Care

OBJECTIVE:This study simulates the regionalization of pancreatectomies to assess its impact on spatial access in terms of patient driving times. BACKGROUND:Although policies to regionalize complex procedures to high-volume centers may improve outcomes, the impact on patient access is unknown. METHOD...

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Veröffentlicht in:Annals of surgery 2021-08, Vol.274 (2), p.312-318
Hauptverfasser: Fong, Zhi Ven, Hashimoto, Daniel A., Jin, Ginger, Haynes, Alex B., Perez, Numa, Qadan, Motaz, Ferrone, Cristina R., Fernandez-del Castillo, Carlos, Warshaw, Andrew L., Lillemoe, Keith D., Traeger, Lara N., Chang, David C.
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Sprache:eng
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Zusammenfassung:OBJECTIVE:This study simulates the regionalization of pancreatectomies to assess its impact on spatial access in terms of patient driving times. BACKGROUND:Although policies to regionalize complex procedures to high-volume centers may improve outcomes, the impact on patient access is unknown. METHODS:Patients who underwent pancreatectomies from 2005 to 2014 were identified from Californiaʼs statewide database. Round-trip driving times between patients’ home ZIP code and hospital addresses were calculated via Google Maps. Regionalization was simulated by eliminating hospitals performing
ISSN:0003-4932
1528-1140
DOI:10.1097/SLA.0000000000003574