Cost Effectiveness of Regionalization—Further Results for Heart Surgery

AUTOR(ES)
RESUMO

A recent study concluded that efficient production of heart surgeries requires a minimum volume of 500 procedures per center per year. A replication of that study, under a different set of circumstances, is reported in this paper. The geographic setting was substantially different: a west coast city in the earlier study versus a midwest suburb in the current study. The type of hospital was also substantially different: prepaid health plan-owned in the earlier study versus nonprofit fee-for-service community hospital, owned by a religious order, in the current study. Physician costs were included in the previous study but were excluded from the current study. Travel distances were included in both studies but because of the geographic setting tended to be greater in the current study.

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