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  1. The impact of Regionalization on a surgery program in the Canadian health care system. Discussion. Commentary.

    Article, Communication - En anglais

    Scientific Session of the Western Surgical Association. Portland, Ore (USA), 1996/11/19.

    Objective 

    To examine the impact of the regionalization of health care on the provision of surgical services in the Capital Health Region (Edmonton) of the province of Alberta.

    Design 

    A 4-year retrospective descriptive analysis using data from the Canadian Institute for Health Information and from the Capital Health Region data banks.

    Setting 

    To control health care costs, the provincially funded health care system in Alberta reformed its governance structure and service provision model.

    We studied community hospitals and an academic health sciences center.

    Patients 

    All patients undergoing surgical care in the region.

    Interventions 

    Regionalization of the organizational structure with the elimination of hospital boards, consolidation of services on specific sites within the regional system, and a major reduction in funding.

    Outcome Measures 

    Inpatient and day surgery procedure volumes, average length of hospital stay, relative value units, bed use, and mortality.

    Results 

    The Capital Health Region has a population of 723 000 people, with 5 acute care institutions.

    Eighteen clinical programs now provide care through 2 referral hospitals and 3 community health centers.

    The reduction in operating dollars for this region was $167.1 million from fiscal years 1992-1993 to 1996-1997.

    Redistribution of surgical services occurred on july 1,1995, resulting in an 18% inpatient bed reduction.

    Regionally, the number of acute care beds has declined from 2.25 to 1. (...)

    Mots-clés Pascal : Chirurgie, Centre santé, Rétrospective, Régional, Coût, Pratique professionnelle, Méthodologie, Communication information, Homme, Organisation santé

    Mots-clés Pascal anglais : Surgery, Health center, Retrospective, Regional, Costs, Professional practice, Methodology, Information communication, Human, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0351766

    Code Inist : 002B30A04D. Création : 12/09/1997.