Department of Surgery, Princess Maxima Center, Heidelberglaan 25, Utrecht 3584 CS, the Netherland.
President of the Netherlands Society of Pediatric Surgeons, UMC Groningen, Groningen, the Netherland.
J Pediatr Surg. 2022 Feb;57(2):178-181. doi: 10.1016/j.jpedsurg.2021.10.023. Epub 2021 Oct 29.
Centralization of care is a difficult process, as there are several stakeholders that are involved and should be heard. What can be the best option for a small group of patients may be detrimental to a larger group of patients that cannot be adequately treated close to home. The weighing of these factors is different in every environment. One universal rule however is: if you don't do it yourselves, others will do it for you. In the Netherlands, pediatric oncology, including surgery, is centralized in one center (Utrecht) with the help of several shared care centers scattered throughout the country for things that can be managed close to home.
医疗资源的集中化是一个艰难的过程，因为有几个利益相关者参与其中，应该听取他们的意见。对于一小部分患者来说，最好的选择可能对那些无法在离家近的地方得到充分治疗的更大群体的患者不利。在每种环境下，这些因素的权衡都有所不同。然而，有一个普遍的规则是：如果你们自己不做，别人就会替你们做。在荷兰，小儿肿瘤学，包括手术，都集中在一个中心（乌得勒支），全国还有几个共享护理中心，负责处理可以在家附近管理的事情。
