Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Optimizing resources for the surgical care of children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee consensus statement. J Pediatr Surg 2014 May;49(5):818-22 PMID: 24851778

Pubmed ID

24851778

DOI

10.1016/j.jpedsurg.2014.02.085

Abstract

The United States' healthcare system is facing unprecedented pressures: the healthcare cost curve is not sustainable while the bar of standards and expectations for the quality of care continues to rise. Systems committed to the surgical treatment of children will likely require changes and reorganization. Regardless of these mounting pressures, hospitals must remain focused on providing the best possible care to each child at every encounter. Available clinical expertise and hospital resources should be optimized to match the complexity of the treated condition. Although precise criteria are lacking, there is a growing consensus that the optimal combination of clinical experience and hospital resources must be defined, and efforts toward this goal have been supported by the Regents of the American College of Surgeons, the members of the American Pediatric Surgical Association, and the Society for Pediatric Anesthesia (SPA) Board of Directors. The topic of optimizing outcomes and the discussion of the concepts involved have unfortunately become divisive. Our goals, therefore, are 1) to provide a review of the literature that can provide context for the discussion of regionalization, volume, and optimal resources and promote mutual understanding of these important terms, 2) to review the evidence that has been published to date in pediatric surgery associated with regionalization, volume, and resource, 3) to focus on a specific resource (anesthesia), and the association that this may have with outcomes, and 4) to provide a framework for future research and policy efforts.

Author List

Goldin AB, Dasgupta R, Chen LE, Blakely ML, Islam S, Downard CD, Rangel SJ, St Peter SD, Calkins CM, Arca MJ, Barnhart DC, Saito JM, Oldham KT, Abdullah F

Authors

Marjorie J. Arca MD Professor in the Surgery department at Medical College of Wisconsin
Casey Matthew Calkins MD Professor in the Surgery department at Medical College of Wisconsin
Keith T. Oldham MD Professor in the Surgery department at Medical College of Wisconsin




Scopus

2-s2.0-84901020205   13 Citations

MESH terms used to index this publication - Major topics in bold

Anesthesia
Child
Health Resources
Hospitals, High-Volume
Humans
Outcome Assessment (Health Care)
Pediatrics
Regional Medical Programs
Specialties, Surgical
United States
jenkins-FCD Prod-321 98992d628744e349846c2f62ac68f241d7e1ea70