Steinbrüchel Daniel A, Ravn Jesper Bohsen
H:S Rigshospitalet, Thoraxkirurgisk Klinik RT, København Ø.
Ugeskr Laeger. 2006 Apr 10;168(15):1524-6.
A review of current literature with respect to a possible correlation among hospital volume, caseload and outcome of thoracic and cardiovascular surgery supports quite convincingly the theory that, from a probability point of view, the combination of high-volume hospitals with high-volume surgeons produces the best results. During the last decade, thoracic and cardiovascular surgery has to a certain degree been centralized in Denmark, reducing the number of public centres to the five university hospitals. None of these centres is low-volume, and two are high-volume hospitals.
一项关于医院规模、病例数量与胸心血管外科手术结果之间可能存在的相关性的当前文献综述,相当有说服力地支持了这样一种理论,即从概率角度来看,高规模医院与高手术量外科医生的结合能产生最佳效果。在过去十年中,丹麦的胸心血管外科手术在一定程度上实现了集中化,将公立中心的数量减少到了五所大学医院。这些中心没有一个是低规模的,其中两个是高规模医院。