Pro-con debate on regionalization of emergency general surgery: controversy or common sense?

Heena Santry, Lillian S Kao, Shahid Shafi, Lawrence Lottenberg, Marie Crandall
Author Information
  1. Heena Santry: Department of Surgery and Center for Surgical Health Assessment, Research and Policy, Ohio State University, Columbus, Ohio, USA.
  2. Lillian S Kao: Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
  3. Shahid Shafi: Department of Surgery, Baylor Health Care System, Dallas, Texas, USA.
  4. Lawrence Lottenberg: Department of Surgery, Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
  5. Marie Crandall: Surgery, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA. ORCID

Abstract

More than three million patients every year develop emergency general surgical (EGS) conditions and this number is rising. EGS diseases range from straightforward to potentially life-threatening, and if severe or complex may require extensive resources. Given the looming surgeon shortage and concerns about access to care, regionalization of EGS care, in a manner similar to trauma care, has been proposed. We present a unique pro-con debate highlighting the salient arguments for and against regionalization of EGS care in the USA.

Keywords

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Grants

  1. R01 HS022694/AHRQ HHS