Variations in the implementation of acute care surgery: results from a national survey of university-affiliated hospitals.

ABSTRACT:

Background

To date, no studies have reported nationwide adoption of acute care surgery (ACS) or identified structural and/or process variations for the care of emergency general surgery (EGS) patients within such models.

Methods

We surveyed surgeons responsible for EGS coverage at University Health Systems Consortium hospitals using an eight-page postal/e-mail questionnaire querying respondents on hospital and EGS structure/process measures. Survey responses were analyzed using descriptive statistics, univariate comparisons, and multivariable regression models.

Results

Of 319 potential respondents, 258 (81%) completed the surveys. A total of 81 hospitals (31%) had implemented ACS, while 134 (52%) had a traditional general surgeon on-call (GSOC) model. Thirty-eight hos

SUBMITTER: Santry HP 

PROVIDER: S-EPMC4372126 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature