Abstract
The impact of centralized facilities on access to care was tested by studying total hip arthroplasty in the Province of Manitoba, Canada. Data from the Manitoba Health Services Commission, which insures costs of all medical services in the Province, show that the availability of this surgical procedure has increased steadily over the 1973-78 period at a rate similar to that elsewhere in North America. Although Manitoba's population is geographically dispersed, specialized orthopedic services are concentrated in two urban centers. No important difference in access to care for this condition was found between urban center residents and residents distant from the surgical facilities.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Charnley J. The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br. 1972 Feb;54(1):61–76. [PubMed] [Google Scholar]
- Donabedian A. Volume, quality, and the regionalization of health care services. Med Care. 1984 Feb;22(2):95–97. doi: 10.1097/00005650-198402000-00001. [DOI] [PubMed] [Google Scholar]
- Farber B. F., Kaiser D. L., Wenzel R. P. Relation between surgical volume and incidence of postoperative wound infection. N Engl J Med. 1981 Jul 23;305(4):200–204. doi: 10.1056/NEJM198107233050405. [DOI] [PubMed] [Google Scholar]
- Flood A. B., Scott W. R., Ewy W. Does practice make perfect? Part I: The relation between hospital volume and outcomes for selected diagnostic categories. Med Care. 1984 Feb;22(2):98–114. [PubMed] [Google Scholar]
- Luft H. S., Bunker J. P., Enthoven A. C. Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med. 1979 Dec 20;301(25):1364–1369. doi: 10.1056/NEJM197912203012503. [DOI] [PubMed] [Google Scholar]
- Melton L. J., 3rd, Stauffer R. N., Chao E. Y., Ilstrup D. M. Rates of total hip arthroplasty; a population-based study. N Engl J Med. 1982 Nov 11;307(20):1242–1245. doi: 10.1056/NEJM198211113072004. [DOI] [PubMed] [Google Scholar]
- Roos L. L., Jr, Roos N. P., Cageorge S. M., Nicol J. P. How good are the data? Reliability of one health care data bank. Med Care. 1982 Mar;20(3):266–276. doi: 10.1097/00005650-198203000-00003. [DOI] [PubMed] [Google Scholar]
- Roos N. P., Henteleff P. D., Roos L. L., Jr A new audit prodecure applied to an old question: Is the frequency of T&A justified? Med Care. 1977 Jan;15(1):1–18. doi: 10.1097/00005650-197701000-00001. [DOI] [PubMed] [Google Scholar]
- Rutkow I. M., Zuidema G. D. Surgical rates in the United States: 1966 to 1978. Surgery. 1981 Feb;89(2):151–162. [PubMed] [Google Scholar]
- Williams D. C. Surgeons and surgery in Rhode Island, 1970 and 1977. N Engl J Med. 1981 Nov 26;305(22):1319–1323. doi: 10.1056/NEJM198111263052204. [DOI] [PubMed] [Google Scholar]