Mino J C, Bourgueil Y, Baubeau D, Chaillet M P, Cong W H, Hofmann G, Ruelle S, Vibet M N
Groupe IMAGE, Ecole Nationale de la Santé Publique, Saint-Maurice.
Sante Publique. 1997 Dec;9(4):447-61.
This paper describes the results of a national study of the 70 french cardiac surgery units. This study was required by the ministry of health in order to prepare the planning process of cardiac surgery in France. Results concerning the year 1994 show important regional variations of resources among the country. The number of interventions has increased three fold in 15 years (from 13,000 to 38,000 a year). The share of the different indications are constant (coronaropathy: 53%; valvulopathy: 36%; congenital: 8%). Patient flows across french regions represent 15% of the interventions. Regional intervention rates per capita range from 45 to more than 80 for 100,000 inhabitants. French cardiac surgery is, in fact, organized at a multiregional level and the regional intervention rates are not correlated with mortality or demographic rates.
本文描述了一项针对法国70家心脏外科手术单位的全国性研究结果。法国卫生部要求开展这项研究，以便为法国心脏外科手术的规划流程做准备。1994年的研究结果显示，法国国内各地区的资源存在显著差异。15年间，手术量增长了两倍（从每年13,000例增至38,000例）。不同适应症的占比保持不变（冠心病：53%；瓣膜病：36%；先天性心脏病：8%）。法国各地区间的患者流动量占手术量的15%。每10万居民的地区手术率在45至80以上不等。实际上，法国心脏外科手术是在多地区层面组织开展的，且地区手术率与死亡率或人口统计率并无关联。
