title: Thoracic and Cardiovascular Surgeons' Perception of the Concentration of Cardiovascular Operations in Seoul Metropolitan Area's Hospitals.
abstract: BACKGROUND
  The purpose of this study is to evaluate the concentration of cardiovascular surgical procedures in a metropolitan area and investigate the perception of specialists regarding governmental policies to resolve this imbalance.
  
  
  METHODS
  From March to May 2015, surveys were distributed to members of the Thoracic and Cardiovascular Surgery Association. The final pool of research subjects consisted of 75 respondents. Subjects were queried regarding the concentration of cardiovascular operations in metropolitan areas, alternatives to the imbalance, and governmental policies to resolve the inequalities.
  
  
  RESULTS
  Survey participants responded that South Korea needs governmental policies to alleviate the concentration of cardiovascular surgery patients in large metropolitan hospitals. Participants agreed that the freedom to choose medical institutions and improved accessibility to metropolitan hospitals due to advanced transportation systems were some of the causes for the concentration. A majority (98.7%) of respondents thought establishing thoracic and cardiovascular surgery centers in provinces was an appropriate solution to alleviate the concentration. Thoracic and cardiovascular surgery specialists were ranked as the number one group on which to focus development.
  
  
  CONCLUSIONS
  Developing and carrying out policies to establish thoracic and cardiovascular surgery centers in provinces will alleviate the regional imbalance in available heart surgery services and an overall improvement in cardiovascular disease treatment in South Korea.
authors.affiliation: Department of Preventive Medicine, Konkuk University School of Medicine.
authors.forename: Hyo Seon
authors.initials: HS
authors.lastname: Jeong
authors.affiliation: Department of Preventive Medicine, Konkuk University School of Medicine.
authors.forename: Kun Sei
authors.initials: KS
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Konkuk University Medical Center, Konkuk University School of Medicine.
authors.forename: Hyun Keun
authors.initials: HK
authors.lastname: Chee
authors.affiliation: Department of Preventive Medicine, Konkuk University School of Medicine.
authors.forename: Hye Mi
authors.initials: HM
authors.lastname: Ahn
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea College of Medicine.
authors.forename: Sung Bo
authors.initials: SB
authors.lastname: Sim
keywords: Cardiac; Decision making; Health care surveys; Health policy; Surgery