Medical College of Wisconsin
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Pediatric surgeons' attitudes toward regionalization of neonatal surgical care. J Pediatr Surg 2014 Oct;49(10):1475-9 PMID: 25280649

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BACKGROUND/PURPOSE: Research has suggested that high-risk pediatric surgical patients have better outcomes when treated in resource-rich children's environments. Surgical neonates are a particularly high-risk population and some suggest that regionalization might be a strategy to improve clinical outcomes in neonatal surgical patients. We conducted a national survey of pediatric surgeons in the United States to explore their attitudes toward regionalization of neonatal surgical care.

METHODS: Members of the American Pediatric Surgical Association were asked to participate in an anonymous online survey to assess both attitudes toward regionalization, as well as perceptions of the importance of various resources in providing optimal care for surgical neonates.

RESULTS: Overall, 56.2% of participants favored regionalization. Surgeons whose practice was part of a training program tended to favor regionalization more, as did those from larger group practices and those who practiced at free-standing children's hospital. In addition, surgeons from larger groups and those involved with training programs more strongly favored the premise that a higher level of resource commitment should be available to treat surgical neonates.

CONCLUSIONS: The impact of any national strategy to improve neonatal surgical outcomes will be large and multi-faceted. While the majority of pediatric surgeons favor regionalization, our findings demonstrate variation in this view and highlight the necessity for surgeon involvement and education that will be critical in this effort.

Author List

Bezner SK, Bernstein IH, Oldham KT, Goldin AB, Fischer AC, Chen LE


Keith T. Oldham MD Professor in the Surgery department at Medical College of Wisconsin


2-s2.0-84908133939   7 Citations

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

Attitude of Health Personnel
Health Care Surveys
Infant, Newborn
Regional Medical Programs
Surgical Procedures, Operative
United States
jenkins-FCD Prod-332 f92a19b0ec5e8e1eff783fac390ec127e367c2b5