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

doi:10.1007/978-3-030-35660-6_20

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 proceeding › Chapter › peer-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 language	English
Title of host publication	Bioethical Controversies in Pediatric Cardiology and Cardiac Surgery
Pages	261-271
Number of pages	11
ISBN (Electronic)	9783030356606
DOIs	https://doi.org/10.1007/978-3-030-35660-6_20
State	Published - 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

General Medicine
General Arts and Humanities

Access to Document

10.1007/978-3-030-35660-6_20

Cite this

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AB - 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.

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

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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