Quantity and quality relationships in cardiovascular medicine.
Hospital volume and often also operator volume have documented impacts on the quality of care for aortic and aortocoronary bypass surgery, for percutaneous angioplasty and for radiofrequency ablation for arrhythmias, whereas data are less consistent for treatment of acute myocardial infarction.
A review of this research is given.
In the Nordic countries hospitals are small, and often the plateau of the learning curve cannot be reached.
To discourage low-volume centers from embarking upon too complicated interventional or surgical procedures, the author suggests that a minimal number should be set for certain major procedures, both for hospitals and for physicians.
Mots-clés Pascal : Chirurgie, Coeur, Vaisseau sanguin, Pratique professionnelle, Expérience professionnelle, Qualité, Quantité, Traitement instrumental, Norvège, Europe, Radiofréquence, Dilatation instrumentale, Artère coronaire, Homme
Mots-clés Pascal anglais : Surgery, Heart, Blood vessel, Professional practice, Professional experience, Quality, Quantity, Instrumentation therapy, Norway, Europe, Radiofrequency, Instrumental dilatation, Coronary artery, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0399926
Code Inist : 002B12A09. Création : 25/01/1999.