Trends in specialized surgical procedures at teaching and nonteaching hospitals.
Teaching hospitals are the principal site of many specialized surgical procedures. The recipients of these procedures tend to be younger, male, and nonwhite and tend to reside in either the poorest or the most affluent neighborhoods. Although the numbers of these procedures performed at major teaching hospitals increased dramatically between 1989 and 1995, they accounted for only a modest proportion of hospital discharges and patient days. Concentration of specialized surgical procedures in major teaching hospitals will likely continue. This trend has implications not only for these hospitals but for health care purchasers, policymakers, medical educators, and clinical researchers as well.
Levin
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Association of American Medical Colleges, Center for the Assessment and Management of Change, Academic Medicine, Washington, D.C., USA.
Moy
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Griner
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D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D005260:Female; D019538:Health Care Surveys; D006291:Health Policy; D006769:Hospitals, General / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data / Q000639:trends; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000706:statistics & numerical data / Q000639:trends; D011787:Quality of Health Care; D044469:Racial Groups; D017678:Sex Distribution; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data*; D014481:United States