Potential Access to Emergency General Surgical Care in Ontario
Bibliographic Data
| ID | 15499559 |
|---|---|
| Authors | Jordan Nantais (0000-0003-3358-1983, St. Michael's Hospital, corresponding author), Kristian Larsen (0000-0003-1056-1867, Simon Fraser University), Graham Skelhorne‐Gross (University of Toronto), Andrew Beckett (0000-0002-4943-9415, St. Michael's Hospital), Brodie Nolan (0000-0003-2872-0643, St. Michael's Hospital), David Gómez (0000-0002-9954-2576, St. Michael's Hospital) |
| Year | 2022 |
| Volume | 19 |
| Issue | 21 |
| Pages | 13730-13730 |
| Publication date | 2022-10-22 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph192113730 |
| PMID | 36360609 |
| OpenAlex | W4307263055 |
| Language | EN |
| References cited | 3 |
Limited access to timely emergency general surgery (EGS) care is a probable driver of increased mortality and morbidity. Our objective was to estimate the portion of the Ontario population with potential access to 24/7 EGS care. Geographic information system-based network-analysis was used to model 15-, 30-, 45-, 60-, and 90-min land transport catchment areas for hospitals providing EGS care, 24/7 emergency department (ED) access, and/or 24/7 operating room (OR) access. The capabilities of hospitals to provide each service were derived from a prior survey. Population counts were based on 2016 census blocks, and the 2019 road network for Ontario was used to determine speed limits and driving restrictions. Ninety-six percent of the Ontario population ( n = 12,933,892) lived within 30-min's driving time to a hospital that provides any EGS care. The availability of 24/7 EDs was somewhat more limited, with 95% ( n = 12,821,747) having potential access at 30-min. Potential access to all factors, including 24/7 ORs, was only possible for 93% ( n = 12,471,908) of people at 30-min. Populations with potential access were tightly clustered around metropolitan centers. Supplementation of 24/7 OR capabilities, particularly in centers with existing 24/7 ED infrastructure, is most likely to improve access without the need for new hospitals
Business · Cartography · Catchment area · Census · Drainage basin · Emergency department · Environmental health · Geography · Medical emergency · Metropolitan area · Population · Cardiac, Anesthesia and Surgical Outcomes · Emergency and Acute Care Studies · Medicine · Nursing · Trauma and Emergency Care Studies · Emergency Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |