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Regional critical care delivery systems 

Regional critical care delivery systems
Chapter:
Regional critical care delivery systems
Author(s):

Theodore J. Iwashyna

and Colin R. Cooke

DOI:
10.1093/med/9780199600830.003.0006
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date: 25 February 2020

A regional system of critical care is one in which hospitals are acknowledged to vary in their care of critically-ill patients, and procedures exist to systematically refer patients to a subset of those hospitals. Given scarcity in health care systems, regional systems of care are an attempt to rationalize differentiation among hospitals. There are several examples that suggest regionalization of care can result in cost-effective improvements in patient outcomes. Yet there are also numerous examples of regional systems of care that offer few benefits to patients, or that fail to actually concentrate patients despite the grand plans of their designers. This chapter suggests several key design decisions that can be used to help improve the effectiveness of regional system of care. Addressing all these issues may offer dramatic benefits for patients.

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