Referral Regions for Time-Sensitive Acute Care Conditions in the United States.

ABSTRACT: STUDY OBJECTIVE:Regional, coordinated care for time-sensitive and high-risk medical conditions is a priority in the United States. A necessary precursor to coordinated regional care is regions that are actionable from clinical and policy standpoints. The Dartmouth Atlas of Health Care, the major health care referral construct in the United States, uses regions that cross state and county boundaries, limiting fiscal or political ownership by key governmental stakeholders in positions to create incentive and regulate regional care coordination. Our objective is to develop and evaluate referral regions that define care patterns for patients with acute myocardial infraction, acute stroke, or trauma, yet also preserve essential political boundaries. METHODS:We developed a novel set of acute car

SUBMITTER: Wallace DJ 

PROVIDER: S-EPMC6977951 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature