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- Title
Regionalization of Care for Acute Coronary Syndromes: More Evidence Is Needed.
- Authors
Rathore, Saif S.; Epstein, Andrew J.; Volpp, Kevin G. M.; Krumholz, Harlan M.
- Abstract
Comments on the push for regional treatment centers for patients with acute coronary syndromes. Planning for regionalized care begun by the State of Maryland; Presentation of concerns for this approach to patient care and possible unintended consequences; Arguments for the benefits of the ACS centers, which are based on studies with notable limitations; Lack of clear consensus on the specific nature of ACS regionalization; Risks to patients; Concerns about how the direct admission of ACS patients will be handled; Economic implications; Concern that regionalization may be the end of quality care at non-ACS facilities; Conclusion and belief there is not enough data to support the value of these centers at this time.
- Subjects
MARYLAND; UNITED States; CORONARY disease; MEDICAL centers; PATIENT safety; MEDICAL care costs; MEDICAL economics; MEDICAL care cost shifting; MEDICAL care; PATIENTS; PLANNING
- Publication
JAMA: Journal of the American Medical Association, 2005, Vol 293, Issue 11, p1383
- ISSN
0098-7484
- Publication type
Article
- DOI
10.1001/jama.293.11.1383