Ethical and legal controversies concerning consolidation of congenital heart programs in the United States of America

Vanessa M. Bazan, Carl L. Backer, Joseph B. Zwischenberger

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Consolidating congenital heart surgery programs by collapsing low volume centers into higher volume centers has been proposed to improve outcomes. Recent large database reviews advocate that a minimum volume of 200-300 cases/year reduces mortality. Supporters of consolidation argue that national outcomes could be improved with regional high-volume centers. Opponents point to outstanding clinical outcomes achieved at select lower volume centers. Others note unintended consequences of limiting local access to care and imposing travel burdens for patients and families. This chapter examines the data and ethical issues influencing these opinions.

Original languageEnglish
Title of host publicationBioethical Controversies in Pediatric Cardiology and Cardiac Surgery
Pages261-271
Number of pages11
ISBN (Electronic)9783030356606
DOIs
StatePublished - Jan 1 2020

Bibliographical note

Publisher Copyright:
© Springer Nature Switzerland AG 2020.

Keywords

  • Congenital heart surgery
  • Governmental oversight
  • Media
  • Medical ethics
  • Program consolidation

ASJC Scopus subject areas

  • Medicine (all)
  • Arts and Humanities (all)

Fingerprint

Dive into the research topics of 'Ethical and legal controversies concerning consolidation of congenital heart programs in the United States of America'. Together they form a unique fingerprint.

Cite this