… or regionalize essential surgical services and analyze their impact on patient outcomes,
safety, and quality of care. The … and to directly compare strategies to regionalize obstetric care. …

… ’s ideals to develop health services regionalization policies to integrate the coordination
of … patterns for ideal decision-making and provides tools to take good practical decisions [15]. …

… care and elective procedures such as circumcision and cryotherapy. Studies on the
regionalization of surgical services … describe provision of specialized surgical services at a …

… good surgical outcomes 1 ? Though the evidence base for answering this question in
LMICs is anemic, a mounting body of work suggests that improving the quality of surgical care …

… 12, 13, 14 In the United States, proactive reorganization of surgical services on a large scale
has not occurred. As part … within the US system by exercising such directed referral policies. …

… thoughtful analysis, decisions to decentralize or regionalize surgical services must take into
… Conversely, colleagues’ centralization is adopted to optimize capacity, alternative strategies …

… to regionalized care … for surgical care, and what they feel stands in their way. An accounting
of the barriers that patients perceive would help inform policies designed to improve surgical …

… Based on our data demonstrating that driving times significantly increases with such referral
policies, we believe that payers should provide support to patients and families to mitigate …

… with centralization of surgical care, and … a regionalization process in most instances (Fig.
9.1). This chapter aims to present some of the ongoing issues with centralization of surgical care…

… in surgical technique and treatment strategies over time may also contribute to the improved
… account for patient demographics and attitudes towards cost and access to surgical care. …