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Pro/con debate: Do the benefits of regionalized critical care delivery outweigh the risks of interfacility patient transport?

You are providing input in planning for critical care services to a large regional health authority. You are considering concentrating some critical care services into high-volume regional centres of excellence, as has been done in other fields of medicine. In your region, this would require several...

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Detalles Bibliográficos
Autores principales: Singh, Jeffrey M, MacDonald, Russell D
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2750128/
https://www.ncbi.nlm.nih.gov/pubmed/19678918
http://dx.doi.org/10.1186/cc7883
Descripción
Sumario:You are providing input in planning for critical care services to a large regional health authority. You are considering concentrating some critical care services into high-volume regional centres of excellence, as has been done in other fields of medicine. In your region, this would require several centres with differing levels of expertise that are geographically separated. Given there are inherent risks and time delays associated with interfacility patient transport, you debate whether these potential risks outweigh the benefits of regional centres of excellence.