Impact of centralisation on vascular surgical services

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Impact of centralisation on vascular surgical services. / Beggs, A.D.; McGlone, E.-R.; Thomas, P.R.S.

In: British Journal of Healthcare Management, Vol. 18, No. 9, 01.09.2012, p. 468-473.

Research output: Contribution to journalArticlepeer-review

Harvard

Beggs, AD, McGlone, E-R & Thomas, PRS 2012, 'Impact of centralisation on vascular surgical services', British Journal of Healthcare Management, vol. 18, no. 9, pp. 468-473.

APA

Vancouver

Author

Beggs, A.D. ; McGlone, E.-R. ; Thomas, P.R.S. / Impact of centralisation on vascular surgical services. In: British Journal of Healthcare Management. 2012 ; Vol. 18, No. 9. pp. 468-473.

Bibtex

@article{e613f9aab49a4af0929874edabdb93dc,
title = "Impact of centralisation on vascular surgical services",
abstract = "Studies showing a volume-outcome relationship in vascular surgery have led to a drive towards centralization of vascular surgical services. This has led to these services being transferred from the district general hospital (DGH) to a central 'network' hospital. An unintended consequence of this is that the tariff funding stays with the operating hospital. Patients who are transferred back to the DGH for rehabilitation following treatment at the network hospital do not receive funding to cover their inpatient stay. We present data showing that since centralisation there has been a drop in overall income in a DGH along with sicker patients being repatriated. These patients also stay longer. This has implications for funding of rehabilitation tariffs and fo rthe viability of district general vascular services.",
author = "A.D. Beggs and E.-R. McGlone and P.R.S. Thomas",
year = "2012",
month = sep,
day = "1",
language = "English",
volume = "18",
pages = "468--473",
journal = "British Journal of Healthcare Management",
issn = "1358-0574",
publisher = "Mark Allen Healthcare",
number = "9",

}

RIS

TY - JOUR

T1 - Impact of centralisation on vascular surgical services

AU - Beggs, A.D.

AU - McGlone, E.-R.

AU - Thomas, P.R.S.

PY - 2012/9/1

Y1 - 2012/9/1

N2 - Studies showing a volume-outcome relationship in vascular surgery have led to a drive towards centralization of vascular surgical services. This has led to these services being transferred from the district general hospital (DGH) to a central 'network' hospital. An unintended consequence of this is that the tariff funding stays with the operating hospital. Patients who are transferred back to the DGH for rehabilitation following treatment at the network hospital do not receive funding to cover their inpatient stay. We present data showing that since centralisation there has been a drop in overall income in a DGH along with sicker patients being repatriated. These patients also stay longer. This has implications for funding of rehabilitation tariffs and fo rthe viability of district general vascular services.

AB - Studies showing a volume-outcome relationship in vascular surgery have led to a drive towards centralization of vascular surgical services. This has led to these services being transferred from the district general hospital (DGH) to a central 'network' hospital. An unintended consequence of this is that the tariff funding stays with the operating hospital. Patients who are transferred back to the DGH for rehabilitation following treatment at the network hospital do not receive funding to cover their inpatient stay. We present data showing that since centralisation there has been a drop in overall income in a DGH along with sicker patients being repatriated. These patients also stay longer. This has implications for funding of rehabilitation tariffs and fo rthe viability of district general vascular services.

UR - http://www.scopus.com/inward/record.url?eid=2-s2.0-84866240008&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84866240008

VL - 18

SP - 468

EP - 473

JO - British Journal of Healthcare Management

JF - British Journal of Healthcare Management

SN - 1358-0574

IS - 9

ER -