[Cardiac surgery in France (supply, service and needs response): a national survey].
This paper describes the results of a national study of the 70 french cardiac surgery units. This study was required by the ministry of health in order to prepare the planning process of cardiac surgery in France. Results concerning the year 1994 show important regional variations of resources among the country. The number of interventions has increased three fold in 15 years (from 13,000 to 38,000 a year). The share of the different indications are constant (coronaropathy: 53%; valvulopathy: 36%; congenital: 8%). Patient flows across french regions represent 15% of the interventions. Regional intervention rates per capita range from 45 to more than 80 for 100,000 inhabitants. French cardiac surgery is, in fact, organized at a multiregional level and the regional intervention rates are not correlated with mortality or demographic rates.
Mino
J C
JC
Groupe IMAGE, Ecole Nationale de la Santé Publique, Saint-Maurice.
Bourgueil
Y
Y
Baubeau
D
D
Chaillet
M P
MP
Cong
W H
WH
Hofmann
G
G
Ruelle
S
S
Vibet
M N
MN
D006348:Cardiac Surgical Procedures / Q000145:classification / Q000401:mortality / Q000706:statistics & numerical data*; D003327:Coronary Disease / Q000453:epidemiology / Q000401:mortality; D003710:Demography; D005602:France / Q000453:epidemiology; D006285:Health Planning / Q000706:statistics & numerical data; D006295:Health Resources / Q000458:organization & administration / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000145:classification / Q000706:statistics & numerical data*; D006330:Heart Defects, Congenital / Q000453:epidemiology / Q000401:mortality; D006349:Heart Valve Diseases / Q000453:epidemiology / Q000401:mortality; D006801:Humans; D011153:Population; D012040:Regional Health Planning / Q000706:statistics & numerical data; D012041:Regional Medical Programs / Q000706:statistics & numerical data; D013503:Surgery Department, Hospital / Q000145:classification / Q000458:organization & administration / Q000706:statistics & numerical data*
La chirurgie cardiaque en France (offre, activité et réponse aux besoins): une enquête nationale.